Kayla Brooke Chipman, PT, DPT | |
3141 E Broad St Ste 111, Mansfield, TX 76063-6425 | |
(817) 435-5248 | |
(817) 435-5249 |
Full Name | Kayla Brooke Chipman |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 3141 E Broad St Ste 111, Mansfield, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932963782 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (Texas) | Primary |
225100000X | Physical Therapist | P22994 (North Carolina) | Secondary |
Provider Name | Jackson Clinics Limited Partnership |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1639594831 PECOS PAC ID: 2860623295 Enrollment ID: O20140327000554 |
Mailing Address | Practice Location Address |
---|---|
Kayla Brooke Chipman, PT, DPT 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: () - | Kayla Brooke Chipman, PT, DPT 3141 E Broad St Ste 111, Mansfield, TX 76063-6425 Ph: (817) 435-5248 |
Tan Ta, Physical Therapist Medicare: Medicare Enrolled Practice Location: 3020 E Broad St Ste 112, Mansfield, TX 76063 Phone: 682-422-7580 | |
Graham Easom, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 801 E Debbie Ln Ste 105, Mansfield, TX 76063 Phone: 817-483-1746 | |
Carol A Bickers, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 E Debbie Ln, Mansfield, TX 76063 Phone: 877-385-4264 | |
Ian Petri, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2801 E Broad St, Mansfield, TX 76063 Phone: 817-375-5200 | |
Christina Trovela, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1748 E Broad St, Suite 120, Mansfield, TX 76063 Phone: 817-477-4567 Fax: 817-477-4591 | |
Karen Raye Schmidt, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2851 Matlock Rd Ste 600, Mansfield, TX 76063 Phone: 817-473-6246 Fax: 817-473-2014 | |
Aubrey Starnes, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2771 E Broad St Ste 211, Mansfield, TX 76063 Phone: 682-518-6263 |