Jacob Matlock, PT, DPT | |
1227 E 32nd St Ste 7, Joplin, MO 64804-2904 | |
(417) 624-7400 | |
Not Available |
Full Name | Jacob Matlock |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 1227 E 32nd St Ste 7, Joplin, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821771130 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2023032882 (Missouri) | Primary |
Provider Name | Serc Rehabilitation Partners Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1760745244 PECOS PAC ID: 9830344563 Enrollment ID: O20130304000500 |
Mailing Address | Practice Location Address |
---|---|
Jacob Matlock, PT, DPT 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: (423) 238-7217 | Jacob Matlock, PT, DPT 1227 E 32nd St Ste 7, Joplin, MO 64804-2904 Ph: (417) 624-7400 |
Ms. Marie Shireman, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2727 Mc Clelland Blvd, Joplin, MO 64804 Phone: 417-781-2727 | |
Ma. Estela Lopez Ortaleza, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2700 E 34th St, Joplin, MO 64804 Phone: 417-781-1737 | |
Mr. Jimmie Joe Wilson, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2727 Mc Clelland Blvd, Joplin, MO 64804 Phone: 417-625-2190 Fax: 417-625-2097 | |
Mr. Emmanuel Fernandez, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 214 W 5th St, Suite D & E, Joplin, MO 64801 Phone: 417-782-2917 | |
Trent Moore, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1227 E 32nd St, Ste 7, Joplin, MO 64804 Phone: 417-624-7400 Fax: 417-624-7403 | |
Mr. William Ellerd Dierks, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3105 Mc Clelland Blvd, Suite 101, Joplin, MO 64804 Phone: 417-623-5560 Fax: 417-634-5740 | |
Stacy Michelle Jones, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1227 E 32nd St Ste 7, Joplin, MO 64804 Phone: 417-624-7400 Fax: 417-624-7403 |