| Jad Ahmad Chatila, PT, DPT | |
|
12650 N Beach St Ste 150, Fort Worth, TX 76244-4243 | |
| (817) 402-0218 | |
| (844) 537-3572 |
| Full Name | Jad Ahmad Chatila |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 12650 N Beach St Ste 150, Fort Worth, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811508948 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 1335453 (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | 1335453 (Texas) | Primary |
| Provider Name | Blacketer Enterprises, Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1295046050 PECOS PAC ID: 4981884905 Enrollment ID: O20110209000108 |
| Mailing Address | Practice Location Address |
|---|---|
| Jad Ahmad Chatila, PT, DPT 5428 Old Orchard Dr, Fort Worth, TX 76123-5006 Ph: (972) 352-8938 | Jad Ahmad Chatila, PT, DPT 12650 N Beach St Ste 150, Fort Worth, TX 76244-4243 Ph: (817) 402-0218 |
Dr. Kenneth Lawrence Miller, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3500 Camp Bowie Blvd, Fort Worth, TX 76107 Phone: 817-735-5466 | |
Benjamin Cheevers, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4108 Boat Club Rd, Fort Worth, TX 76135 Phone: 817-370-9891 | |
Mrs. Danieta Kay Grissman, PTA Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12460 Woods Edge Trl, Fort Worth, TX 76244 Phone: 817-637-0368 | |
Christina Thompson, Physical Therapist Medicare: Medicare Enrolled Practice Location: 6501 Harris Pkwy, Fort Worth, TX 76132 Phone: 817-370-9891 Fax: 817-370-9894 | |
Dennis J Curnyn, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4750 Bryant Irvin Rd N, Fort Worth, TX 76107 Phone: 817-923-9000 Fax: 817-923-9033 | |
Marcia G Mckay, L.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3840 Hulen St, Htn, Client Accounting, Fort Worth, TX 76107 Phone: 817-569-4395 Fax: 817-569-4517 | |
Lacey Jo Hope, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5316 Trail Lake Dr, Fort Worth, TX 76133 Phone: 817-292-8787 Fax: 817-789-6849 |