| Kaitlin Marie Antonides, | |
|
8627 Cinnamon Creek Dr, Bldg 402, San Antonio, TX 78240-1480 | |
| (830) 796-3447 | |
| (830) 796-3685 |
| Full Name | Kaitlin Marie Antonides |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 8627 Cinnamon Creek Dr, San Antonio, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760834352 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 3119382 (Texas) | Primary |
| Provider Name | Powerback Rehabilitation Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1427454164 PECOS PAC ID: 2365359932 Enrollment ID: O20150529002032 |
| Provider Name | Texas Luna Care Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1790309656 PECOS PAC ID: 0648692723 Enrollment ID: O20200618000076 |
| Mailing Address | Practice Location Address |
|---|---|
| Kaitlin Marie Antonides, 3456 Highway 16 South, Bandera, TX 78003-3599 Ph: (830) 796-3447 | Kaitlin Marie Antonides, 8627 Cinnamon Creek Dr, Bldg 402, San Antonio, TX 78240-1480 Ph: (830) 796-3447 |
Sarah F Simpson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 27880 Riata Ranch Dr, San Antonio, TX 78261 Phone: 210-870-9430 | |
Elizabeth Brotherton, P. T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 85 Ne Loop 410 Ste 612, San Antonio, TX 78216 Phone: 210-308-2900 | |
Jennifer Duggins, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 20330 Huebner Rd, Ste 102, San Antonio, TX 78258 Phone: 210-725-3700 | |
Neha Shah, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9150 Huebner Rd Ste 275, San Antonio, TX 78240 Phone: 210-561-7000 | |
Jennifer G Classy, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 18323 Sonterra Pl, San Antonio, TX 78258 Phone: 210-495-4606 Fax: 210-495-4606 | |
Fnu Praseetha Ullal Kolap, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5211 Fredericksburg Rd Apt 1319, San Antonio, TX 78229 Phone: 708-571-9504 | |
Jesus Alcala, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 20821 Us Hwy 281 N, Ste 110, San Antonio, TX 78258 Phone: 210-610-4480 |