Jeffrey Tate Hartley, DPT, CSCS | |
800 Scott And White Dr, College Station, TX 77845-6440 | |
(979) 207-4000 | |
Not Available |
Full Name | Jeffrey Tate Hartley |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 800 Scott And White Dr, College Station, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588252241 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 3126027 (Texas) | Secondary |
225100000X | Physical Therapist | 1342042 (Texas) | Primary |
Provider Name | Scott & White Clinic |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1093779704 PECOS PAC ID: 8123923604 Enrollment ID: O20031223000640 |
Mailing Address | Practice Location Address |
---|---|
Jeffrey Tate Hartley, DPT, CSCS Po Box 844658, Dallas, TX 75284-4658 Ph: (254) 724-2111 | Jeffrey Tate Hartley, DPT, CSCS 800 Scott And White Dr, College Station, TX 77845-6440 Ph: (979) 207-4000 |
Katharine Tyson, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1451 Greens Prairie Rd W Ste 100, College Station, TX 77845 Phone: 979-690-2478 | |
Wellpoint Physical Therapy Services, P.c. Physical Therapist Medicare: Medicare Enrolled Practice Location: 4190 State Highway 6 S, College Station, TX 77845 Phone: 979-690-1999 Fax: 979-690-1906 | |
Mr. Gregory Alan Burtin, PT, MPT, CERT. MDT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1305 Remington Ct, College Station, TX 77845 Phone: 979-587-1002 Fax: 979-690-2510 | |
Dr. Karl Matthew Hermann, PT, PHD Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4190 State Highway 6 S, College Station, TX 77845 Phone: 979-690-1999 Fax: 979-690-1906 | |
Dr. Kylie Hindman, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 Scott And White Dr, College Station, TX 77845 Phone: 979-207-3300 | |
Kimberly Kay Presson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1264 Tamu, Mail Stop 1264, College Station, TX 77843 Phone: 979-458-8383 | |
Danielle Francis Decha, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2700 Earl Rudder Fwy S Ste 1200, College Station, TX 77845 Phone: 979-307-5850 |