Legacy Healthcare Services Inc. | |
3405 El Salido Pkwy, Cedar Park, TX 78613-5640 | |
(855) 239-3467 | |
Not Available |
Full Name | Legacy Healthcare Services Inc. |
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Type | Facility |
Speciality | Physical Therapist |
Location | 3405 El Salido Pkwy, Cedar Park, Texas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871132357 | NPI | - | NPPES |
Provider Name | Jill A Cahill |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1669582342 PECOS PAC ID: 1456334358 Enrollment ID: I20040611000021 |
Provider Name | Donna Lynn Witten |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1518936111 PECOS PAC ID: 8426034679 Enrollment ID: I20040628000914 |
Provider Name | Christa A Dinubilo |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1508056466 PECOS PAC ID: 3779666300 Enrollment ID: I20080206000043 |
Provider Name | Jane R Bomer |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1184753550 PECOS PAC ID: 8527142421 Enrollment ID: I20080303000260 |
Provider Name | Ernestina C Garcia |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1962540526 PECOS PAC ID: 7214004332 Enrollment ID: I20080916000069 |
Provider Name | Laura J Barraza |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1932343522 PECOS PAC ID: 2567512775 Enrollment ID: I20090610000154 |
Provider Name | Heidi L Bryant |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1275798431 PECOS PAC ID: 4385783232 Enrollment ID: I20091205000136 |
Provider Name | Wendy C Fahle |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1770816944 PECOS PAC ID: 8123167889 Enrollment ID: I20091209000494 |
Provider Name | Allison Gayle Tumlinson |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1841561925 PECOS PAC ID: 1850531476 Enrollment ID: I20130702000605 |
Provider Name | Jenifer M Scott |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1487901955 PECOS PAC ID: 5395067136 Enrollment ID: I20141204001805 |
Provider Name | Manpreet K Sheabat |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1033502505 PECOS PAC ID: 1759669559 Enrollment ID: I20161029000267 |
Provider Name | Tiffany A Boulware |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1407925746 PECOS PAC ID: 0749563948 Enrollment ID: I20170214001616 |
Provider Name | Stephen B Bigham |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1972728392 PECOS PAC ID: 9032477724 Enrollment ID: I20180102000661 |
Provider Name | Rebecca Lee Macy |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1396176483 PECOS PAC ID: 6103171632 Enrollment ID: I20180625000587 |
Provider Name | James Speer |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1053619635 PECOS PAC ID: 6709132244 Enrollment ID: I20180713000097 |
Provider Name | Angela R Thompson |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1649484338 PECOS PAC ID: 9537497722 Enrollment ID: I20190827000021 |
Provider Name | Elizabeth M Orozco |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1952953473 PECOS PAC ID: 5496084535 Enrollment ID: I20190916000205 |
Provider Name | Kelley H Frick |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1427468412 PECOS PAC ID: 0143550137 Enrollment ID: I20190917003326 |
Provider Name | Yvette F Deleo |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1801954177 PECOS PAC ID: 4789738238 Enrollment ID: I20190926001032 |
Provider Name | Catherine U Jerrells |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1073661435 PECOS PAC ID: 3173957404 Enrollment ID: I20191219002143 |
Provider Name | Kelley A Mccormick |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1396226346 PECOS PAC ID: 6204264559 Enrollment ID: I20200319001639 |
Provider Name | Jose L Palacios |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1376734608 PECOS PAC ID: 3870922214 Enrollment ID: I20200406001124 |
Provider Name | Sherrie M Barton |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1235767179 PECOS PAC ID: 4688004666 Enrollment ID: I20200414003018 |
Provider Name | Sharmin M Wankadia |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1669614996 PECOS PAC ID: 1456774231 Enrollment ID: I20200713001715 |
Provider Name | Laura M G Bailey |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1154802155 PECOS PAC ID: 4981029733 Enrollment ID: I20200811000189 |
Provider Name | Ankitaben M Patel |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1851906069 PECOS PAC ID: 5193144806 Enrollment ID: I20200930000669 |
Provider Name | Kavitha Parasumanna Janarthanaa |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1255998837 PECOS PAC ID: 4082025887 Enrollment ID: I20201130003138 |
Provider Name | Mansi Amit Parikh |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1285040170 PECOS PAC ID: 3375765761 Enrollment ID: I20201221002075 |
Provider Name | Sarah P Francis |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1891275624 PECOS PAC ID: 8022422674 Enrollment ID: I20210122001376 |
Provider Name | Taylor Hawkins |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1831676154 PECOS PAC ID: 7810302510 Enrollment ID: I20210210000972 |
Provider Name | Priyanka Amin |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1124632278 PECOS PAC ID: 3072929637 Enrollment ID: I20210304002366 |
Provider Name | Shubhangi T Khaparde |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1548500168 PECOS PAC ID: 4284879990 Enrollment ID: I20210407000477 |
Provider Name | Swapna Meegada |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1548727316 PECOS PAC ID: 0941619936 Enrollment ID: I20210504000189 |
Provider Name | Tiffany D Lin |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1972053924 PECOS PAC ID: 2365841368 Enrollment ID: I20210525000303 |
Provider Name | Kelli A Lambert |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1093399792 PECOS PAC ID: 5496154411 Enrollment ID: I20210525001009 |
Provider Name | Jennifer D Montou |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1306411178 PECOS PAC ID: 3678972239 Enrollment ID: I20210602000438 |
Provider Name | Joseph P Hsiao |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1639651045 PECOS PAC ID: 1557760998 Enrollment ID: I20210604000811 |
Provider Name | Dawn R Hungate |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1962863969 PECOS PAC ID: 1456751528 Enrollment ID: I20210610001634 |
Provider Name | Lori H Haseloff |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1053691303 PECOS PAC ID: 3779983879 Enrollment ID: I20210610003114 |
Provider Name | Ashley Marie Maddern |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1356641575 PECOS PAC ID: 6204023450 Enrollment ID: I20210610003194 |
Provider Name | Ravina Desai |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1730782293 PECOS PAC ID: 5092126003 Enrollment ID: I20210614002947 |
Provider Name | Beth A Pogue |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1750868394 PECOS PAC ID: 4284035627 Enrollment ID: I20210623001997 |
Provider Name | Danyelle B Huffaker |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1003484916 PECOS PAC ID: 6800298910 Enrollment ID: I20210713000606 |
Provider Name | Jenna L Lambert |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1770166720 PECOS PAC ID: 4981006921 Enrollment ID: I20210713001873 |
Provider Name | Vincent C Wee |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1619457918 PECOS PAC ID: 6103228168 Enrollment ID: I20210713002569 |
Provider Name | Michael J Gonzales |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1255544185 PECOS PAC ID: 0749682458 Enrollment ID: I20210716001281 |
Provider Name | Dawn L Araujo |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1942711510 PECOS PAC ID: 9133522741 Enrollment ID: I20210720002509 |
Provider Name | Missy A Rodriguez |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1720699697 PECOS PAC ID: 0143623710 Enrollment ID: I20210721000384 |
Provider Name | Kelly M Mason |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1730756412 PECOS PAC ID: 0648673004 Enrollment ID: I20210722000813 |
Provider Name | Maria D Martinez-hernandez |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1053989384 PECOS PAC ID: 9931502317 Enrollment ID: I20210722001666 |
Provider Name | Jennifer Mabrey |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1922136050 PECOS PAC ID: 9830592401 Enrollment ID: I20210726001803 |
Provider Name | Kevin Dang |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1275934838 PECOS PAC ID: 7315340510 Enrollment ID: I20210726002730 |
Provider Name | Bryson J. Price |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1780166298 PECOS PAC ID: 6103220876 Enrollment ID: I20210803003622 |
Provider Name | Jacqueline S Alexander |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1841771136 PECOS PAC ID: 9133523343 Enrollment ID: I20210810004002 |
Provider Name | Niharika Raghuvanshi |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1245904432 PECOS PAC ID: 5092110551 Enrollment ID: I20210820001516 |
Provider Name | Ruchi Katyal |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1073976973 PECOS PAC ID: 5395140834 Enrollment ID: I20210823001311 |
Provider Name | Deepthi R Bandi |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1780700674 PECOS PAC ID: 9234534629 Enrollment ID: I20210824000409 |
Provider Name | Teri L Burch |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1548773864 PECOS PAC ID: 1153727987 Enrollment ID: I20210902001906 |
Provider Name | Rachel Eb Crumrine |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1710593439 PECOS PAC ID: 8325444607 Enrollment ID: I20210913001044 |
Provider Name | Prathima Mandava |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1063661288 PECOS PAC ID: 0941607550 Enrollment ID: I20210924000645 |
Provider Name | Jennifer B Catalano |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1831499045 PECOS PAC ID: 5890193916 Enrollment ID: I20211004002816 |
Provider Name | Ricardo Avila |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1598838682 PECOS PAC ID: 1658316914 Enrollment ID: I20211005000681 |
Provider Name | Tamara D Wagner |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1528254778 PECOS PAC ID: 4587067087 Enrollment ID: I20211006000295 |
Provider Name | Silvia Castillo |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1790397503 PECOS PAC ID: 8729486402 Enrollment ID: I20211011001302 |
Provider Name | Khalilah A Joseph |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1689185639 PECOS PAC ID: 5698173011 Enrollment ID: I20211014002064 |
Provider Name | Kenya K Johnson |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1790031326 PECOS PAC ID: 3577961820 Enrollment ID: I20211018001333 |
Provider Name | Kaitlyn M Godsave |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1750992020 PECOS PAC ID: 8022406388 Enrollment ID: I20211019003249 |
Provider Name | Garima Bhatia |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1558990853 PECOS PAC ID: 3173911070 Enrollment ID: I20211026002376 |
Provider Name | Genelda Alfred |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1265913677 PECOS PAC ID: 5294123907 Enrollment ID: I20211029001899 |
Provider Name | Rebecca T Correia |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1427688654 PECOS PAC ID: 1355739921 Enrollment ID: I20211101002022 |
Provider Name | Kimberly M Mueller |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1427409580 PECOS PAC ID: 7517355951 Enrollment ID: I20211103003278 |
Provider Name | Elaine M Santos |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1962526830 PECOS PAC ID: 0244120343 Enrollment ID: I20211122000866 |
Provider Name | Penny Federspiel |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1568129526 PECOS PAC ID: 0345630315 Enrollment ID: I20211206002046 |
Provider Name | Amanda F Garry |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1346908886 PECOS PAC ID: 2365832037 Enrollment ID: I20211213000806 |
Provider Name | Prachi P Patel |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1003570268 PECOS PAC ID: 8325438948 Enrollment ID: I20211214000310 |
Provider Name | Avani Jaykrushna Bhatt |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1720581051 PECOS PAC ID: 1850781436 Enrollment ID: I20211214002642 |
Provider Name | Mekell A Johnson |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1982376489 PECOS PAC ID: 1850782061 Enrollment ID: I20211223000786 |
Provider Name | Shruthy Jacob |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1992274179 PECOS PAC ID: 6204227267 Enrollment ID: I20211229002399 |
Provider Name | Ariel A Dawkins |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1811530694 PECOS PAC ID: 8123419199 Enrollment ID: I20211230000184 |
Provider Name | Anneisha Elerby |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1346841871 PECOS PAC ID: 1355753401 Enrollment ID: I20220120002234 |
Provider Name | Chephirah C Nwansi |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1467113498 PECOS PAC ID: 8426441551 Enrollment ID: I20220211001669 |
Provider Name | Brenda L Hoy |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1669851960 PECOS PAC ID: 2668866732 Enrollment ID: I20220307001321 |
Provider Name | George Vartanian |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1730714833 PECOS PAC ID: 5991133100 Enrollment ID: I20220310002855 |
Provider Name | Madeline C Huffhines |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1770244691 PECOS PAC ID: 3072908458 Enrollment ID: I20220322001143 |
Provider Name | Kelsey Perry |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1487135265 PECOS PAC ID: 1355736638 Enrollment ID: I20220323002403 |
Provider Name | Katherine Schroeder |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1437708856 PECOS PAC ID: 6800281981 Enrollment ID: I20220329000221 |
Provider Name | Nilam S Negandhi |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1295477735 PECOS PAC ID: 2264829092 Enrollment ID: I20220426003012 |
Provider Name | Aja L Grant |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1689320343 PECOS PAC ID: 0042607673 Enrollment ID: I20220428000927 |
Provider Name | Jonina Mae D Wee |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1922580927 PECOS PAC ID: 5597143545 Enrollment ID: I20220602001583 |
Provider Name | Sophia R Stanley |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1205390416 PECOS PAC ID: 3072993583 Enrollment ID: I20220630000389 |
Provider Name | Terry L Mcwilliams |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1740231612 PECOS PAC ID: 8921488859 Enrollment ID: I20220708002086 |
Provider Name | Victoria R Baier |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1023600913 PECOS PAC ID: 3779966635 Enrollment ID: I20220810002705 |
Provider Name | Dhara P Patel |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1164093274 PECOS PAC ID: 1456734045 Enrollment ID: I20220815001494 |
Provider Name | Laura J Gamez |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1841950706 PECOS PAC ID: 2769865781 Enrollment ID: I20220823003841 |
Provider Name | Megan K Nese |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1003077983 PECOS PAC ID: 7719361427 Enrollment ID: I20220830001889 |
Provider Name | Jane Lowe |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1255833729 PECOS PAC ID: 5991180655 Enrollment ID: I20220915002240 |
Provider Name | Loudyfel Go Soco |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1700900826 PECOS PAC ID: 8123403557 Enrollment ID: I20220921000053 |
Provider Name | Warren C Porter |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1417360108 PECOS PAC ID: 0941686497 Enrollment ID: I20221006001051 |
Provider Name | Michelle A Preston |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1538880232 PECOS PAC ID: 0446626527 Enrollment ID: I20221013003049 |
Provider Name | Megan N Wurth |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1326779638 PECOS PAC ID: 9537536263 Enrollment ID: I20221109000258 |
Provider Name | Michelle L Dodds |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1134391048 PECOS PAC ID: 9739557109 Enrollment ID: I20221116002868 |
Provider Name | Avery C Beedy |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1861112724 PECOS PAC ID: 9032587332 Enrollment ID: I20221117001082 |
Provider Name | Mendy J Mick |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1215169289 PECOS PAC ID: 9234508490 Enrollment ID: I20221209000622 |
Provider Name | Nichole M Peck |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1356824544 PECOS PAC ID: 0042689051 Enrollment ID: I20221214002110 |
Provider Name | Ashley A Geer |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1861869273 PECOS PAC ID: 4981073905 Enrollment ID: I20221214002542 |
Provider Name | Michele Buenaventura |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1386126043 PECOS PAC ID: 6002285863 Enrollment ID: I20221217000228 |
Provider Name | Yemisi Elizabeth Adewole |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1164172979 PECOS PAC ID: 2567832041 Enrollment ID: I20221227001032 |
Provider Name | Julie W Wingard |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1386395556 PECOS PAC ID: 6002286465 Enrollment ID: I20221228002805 |
Provider Name | Brian J Mustico |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1144594946 PECOS PAC ID: 7810367281 Enrollment ID: I20221228002855 |
Provider Name | Eva V Solis |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1679996227 PECOS PAC ID: 7719357185 Enrollment ID: I20221228002899 |
Provider Name | Lyndsi N Walterscheid |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1467160671 PECOS PAC ID: 6103296546 Enrollment ID: I20221230000344 |
Provider Name | Ginger M Peoples |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1447432661 PECOS PAC ID: 3274683750 Enrollment ID: I20230104002608 |
Provider Name | Sinduri Burri |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1730410093 PECOS PAC ID: 7012172638 Enrollment ID: I20230105002169 |
Provider Name | Katherine E Ueno |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1003560996 PECOS PAC ID: 1658741624 Enrollment ID: I20230109001087 |
Provider Name | Suttivit Jiranorrawat |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1235856238 PECOS PAC ID: 1557731494 Enrollment ID: I20230111001082 |
Provider Name | Timi L Horton |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1881022549 PECOS PAC ID: 1254615776 Enrollment ID: I20230126002167 |
Provider Name | Michelle L Trevino |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1962157040 PECOS PAC ID: 4082085030 Enrollment ID: I20230130001889 |
Provider Name | Peter A Fasanya |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1437300605 PECOS PAC ID: 7517974215 Enrollment ID: I20230131001486 |
Provider Name | Ariel Knight |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1053879650 PECOS PAC ID: 7113399080 Enrollment ID: I20230202002964 |
Provider Name | Hannah M Shrauner |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1346807054 PECOS PAC ID: 5496127169 Enrollment ID: I20230206001381 |
Provider Name | Brittany Horvath |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1346720588 PECOS PAC ID: 3375915952 Enrollment ID: I20230207003567 |
Provider Name | Pamela L Ingram |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1043854045 PECOS PAC ID: 3577935113 Enrollment ID: I20230208002370 |
Provider Name | Maimili Velankar |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1144983024 PECOS PAC ID: 2062884612 Enrollment ID: I20230208002770 |
Provider Name | Emma G Bennett |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1396352761 PECOS PAC ID: 8527430891 Enrollment ID: I20230214003118 |
Provider Name | Karen M Caesar |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1538294558 PECOS PAC ID: 7618340381 Enrollment ID: I20230228000050 |
Provider Name | Karmela Blanch V Rodriguez |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1760195424 PECOS PAC ID: 4880067230 Enrollment ID: I20230306000709 |
Provider Name | Viviana Tijerina |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1346822103 PECOS PAC ID: 9537532957 Enrollment ID: I20230307000280 |
Provider Name | Ashley N Burnside |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1033691662 PECOS PAC ID: 6406229657 Enrollment ID: I20230308003251 |
Provider Name | Mercedes M Tamayo |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1154028629 PECOS PAC ID: 8729452701 Enrollment ID: I20230315000615 |
Provider Name | Sharyl A Evans |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1053891846 PECOS PAC ID: 1456725282 Enrollment ID: I20230319000026 |
Provider Name | Van K Le |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1154846061 PECOS PAC ID: 0840664447 Enrollment ID: I20230322001614 |
Provider Name | Angela L Anderson |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1326527490 PECOS PAC ID: 7113391632 Enrollment ID: I20230324001210 |
Provider Name | Kayla S Allen |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1245970904 PECOS PAC ID: 6406220664 Enrollment ID: I20230330000246 |
Provider Name | Alana M Mathew |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1679288872 PECOS PAC ID: 0244695815 Enrollment ID: I20230504000003 |
Provider Name | Allison Rose Tietjen |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1083348346 PECOS PAC ID: 5597122085 Enrollment ID: I20230526000442 |
Provider Name | Dianna L Simpson |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1699361113 PECOS PAC ID: 1951768423 Enrollment ID: I20230530000694 |
Provider Name | Whitney N Stilwell |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1013566207 PECOS PAC ID: 9436528635 Enrollment ID: I20230614001359 |
Provider Name | Orit Z Pacht |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1437337722 PECOS PAC ID: 3375901887 Enrollment ID: I20230615000461 |
Provider Name | Marek Ondruj |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1760048706 PECOS PAC ID: 4688907751 Enrollment ID: I20230615002109 |
Provider Name | Rae Anne Reyes Keathley |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1073085254 PECOS PAC ID: 2365800828 Enrollment ID: I20230615002615 |
Provider Name | Myriah Moore |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1851029680 PECOS PAC ID: 4789042862 Enrollment ID: I20230622000012 |
Provider Name | Christina L Cavazos |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1770219776 PECOS PAC ID: 7416317490 Enrollment ID: I20230721003079 |
Provider Name | Kristin N Podnar |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1912555798 PECOS PAC ID: 1254792104 Enrollment ID: I20230725003691 |
Provider Name | Giancarlo De Jesus |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1700275690 PECOS PAC ID: 7719393180 Enrollment ID: I20230726003739 |
Provider Name | Alyssa Michelle Nieto |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1427732205 PECOS PAC ID: 9436511128 Enrollment ID: I20230811001918 |
Provider Name | Audrey Sharon Farkas |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1851588123 PECOS PAC ID: 0749642965 Enrollment ID: I20230818002312 |
Provider Name | Kelsey Gray |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1740841360 PECOS PAC ID: 6800259995 Enrollment ID: I20230822002560 |
Provider Name | Chelsea Rene Sanders |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1841538972 PECOS PAC ID: 1658734066 Enrollment ID: I20230901001994 |
Provider Name | Amanda Elizabeth Leavell |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1750019915 PECOS PAC ID: 6204206055 Enrollment ID: I20230911003012 |
Provider Name | Ana Graciela Molina |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1114327541 PECOS PAC ID: 4587028410 Enrollment ID: I20230912000600 |
Provider Name | Jaimie Bless Brissette |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1376136572 PECOS PAC ID: 4486018702 Enrollment ID: I20230919003544 |
Provider Name | Fatema Kapadia |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1346418605 PECOS PAC ID: 9931411675 Enrollment ID: I20230920000798 |
Provider Name | Marisa V Machado |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1528523610 PECOS PAC ID: 4688028970 Enrollment ID: I20230920001366 |
Provider Name | Aimee Gene Molina |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1528014180 PECOS PAC ID: 0941210686 Enrollment ID: I20230920002632 |
Provider Name | Sheree L Mach |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1447509039 PECOS PAC ID: 6709230964 Enrollment ID: I20230922000390 |
Provider Name | Kaitlyn Ward |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1881175107 PECOS PAC ID: 8123472255 Enrollment ID: I20230922003749 |
Provider Name | Kelsey Frails |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1013792464 PECOS PAC ID: 2769836618 Enrollment ID: I20230926001851 |
Provider Name | Elizabeth A Purtle |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1750998993 PECOS PAC ID: 4981058898 Enrollment ID: I20230927000062 |
Provider Name | Jameel Tamica Wynter |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1952893513 PECOS PAC ID: 8729432570 Enrollment ID: I20230927001565 |
Provider Name | Christine E Silva |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1669807491 PECOS PAC ID: 4789038340 Enrollment ID: I20230929003473 |
Provider Name | Kristin M Peterson |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1568109270 PECOS PAC ID: 9537513999 Enrollment ID: I20231004000462 |
Provider Name | Michelle Louise Jacelon |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1497231476 PECOS PAC ID: 7214381698 Enrollment ID: I20231004001053 |
Provider Name | Brandi Rutherford |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1528327301 PECOS PAC ID: 1951756386 Enrollment ID: I20231004003896 |
Provider Name | Staci Lynn Watts |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1245955467 PECOS PAC ID: 5092160317 Enrollment ID: I20231006000142 |
Provider Name | Susan Hughes Rowland |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1164682860 PECOS PAC ID: 5890141220 Enrollment ID: I20231021000078 |
Provider Name | Soumya Movva |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1174962989 PECOS PAC ID: 6709232150 Enrollment ID: I20231023000174 |
Provider Name | Batul Shakir Nek |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1639880107 PECOS PAC ID: 6406202282 Enrollment ID: I20231031001033 |
Provider Name | April Lynn Trammell |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1780895300 PECOS PAC ID: 7618323312 Enrollment ID: I20231101002391 |
Provider Name | Anna Marie Loza |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1760964555 PECOS PAC ID: 6103272802 Enrollment ID: I20231101002709 |
Provider Name | Laila Breana Jason |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1245713858 PECOS PAC ID: 3072960335 Enrollment ID: I20231107004103 |
Provider Name | Gary Heng |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1487434148 PECOS PAC ID: 0547617870 Enrollment ID: I20231108002480 |
Provider Name | Ruby Rojo-burton |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1609256387 PECOS PAC ID: 3375990575 Enrollment ID: I20231109001741 |
Provider Name | Jeehan Ibrahim |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1194324632 PECOS PAC ID: 8820446339 Enrollment ID: I20231122000237 |
Provider Name | Mary Jaret Park |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1679979728 PECOS PAC ID: 2860840030 Enrollment ID: I20231128003552 |
Provider Name | Teambre Chardae Jones |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1427822311 PECOS PAC ID: 9133577315 Enrollment ID: I20231129000098 |
Provider Name | Oluwasegun Awe |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1356122774 PECOS PAC ID: 8325496342 Enrollment ID: I20231130002044 |
Provider Name | Lauren Scott Hedayat |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1518448356 PECOS PAC ID: 0749638740 Enrollment ID: I20231201001324 |
Provider Name | Monica Eileen Garcia |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1235449083 PECOS PAC ID: 7012366826 Enrollment ID: I20231205003117 |
Provider Name | Rachel Taylor King |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1902388655 PECOS PAC ID: 4688023310 Enrollment ID: I20231207000115 |
Provider Name | Wen-yi Lai |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1699106526 PECOS PAC ID: 5395195838 Enrollment ID: I20231227000463 |
Provider Name | Katherine Sheets |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1013497403 PECOS PAC ID: 0840641726 Enrollment ID: I20240104002021 |
Provider Name | Ivy Mae Bunachita Carrillo |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1487816427 PECOS PAC ID: 8123479912 Enrollment ID: I20240105001445 |
Provider Name | Duan Yi Fang |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1336887199 PECOS PAC ID: 0244682904 Enrollment ID: I20240118000121 |
Provider Name | Melissa Rose Thayer |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1093386799 PECOS PAC ID: 5991158776 Enrollment ID: I20240129000886 |
Provider Name | Dyna A Jose |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1457827933 PECOS PAC ID: 9032562483 Enrollment ID: I20240201001568 |
Provider Name | Megan Rains |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1740769181 PECOS PAC ID: 9234572702 Enrollment ID: I20240212003422 |
Provider Name | Wanqian Hall |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1770003873 PECOS PAC ID: 0042656381 Enrollment ID: I20240308003758 |
Provider Name | Diane Damitio |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1548915234 PECOS PAC ID: 1355787474 Enrollment ID: I20240312002270 |
Provider Name | Catherine Richter |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1053174227 PECOS PAC ID: 1658718044 Enrollment ID: I20240320003956 |
Provider Name | Julie O'keefe Allred |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1285498113 PECOS PAC ID: 7012354996 Enrollment ID: I20240327002664 |
Provider Name | Mary Melani Fuentes |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1750796421 PECOS PAC ID: 2264870971 Enrollment ID: I20240401001252 |
Provider Name | Jennifer Laun |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1275047839 PECOS PAC ID: 7012355480 Enrollment ID: I20240404000154 |
Provider Name | Lauren Elizabeth Ross Wier |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1295378636 PECOS PAC ID: 8224479910 Enrollment ID: I20240513001697 |
Provider Name | Rolando Alejandro Rodriguez |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1174264121 PECOS PAC ID: 2365883832 Enrollment ID: I20240515001025 |
Provider Name | Andrea Kristen Hawley |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1962152850 PECOS PAC ID: 1759723711 Enrollment ID: I20240522004289 |
Provider Name | John Tengra |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1447429485 PECOS PAC ID: 5496197303 Enrollment ID: I20240523001849 |
Provider Name | Dominique Cole-valenzuela |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1083494637 PECOS PAC ID: 9335581156 Enrollment ID: I20240524002219 |
Provider Name | Mary Littlejohn |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1700659620 PECOS PAC ID: 9931541380 Enrollment ID: I20240530001828 |
Mailing Address | Practice Location Address |
---|---|
Legacy Healthcare Services Inc. 110 Horizon Dr Ste 310, Raleigh, NC 27615-4926 Ph: (910) 424-5080 | Legacy Healthcare Services Inc. 3405 El Salido Pkwy, Cedar Park, TX 78613-5640 Ph: (855) 239-3467 |
Mrs. Jennille Zabierek, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1103 Cypress Creek Rd, Suite 101, Cedar Park, TX 78613 Phone: 512-918-0044 Fax: 210-590-4585 | |
Jennifer Lynn Mott, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 805 Zappa Dr, Cedar Park, TX 78613 Phone: 512-394-7921 | |
Dr. Jessica Lynne Richardson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1717 Scottsdale Dr Ste 220, Cedar Park, TX 78641 Phone: 512-962-9141 | |
1up Sports Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2000 Windy Ter Bldg 10, Cedar Park, TX 78613 Phone: 310-880-5513 | |
Brtm-ll Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2423 S Bell Blvd, Cedar Park, TX 78613 Phone: 512-827-3601 Fax: 512-777-5042 | |
Suchiben Gajjar, PT,DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4124 Rainy Creek Ln, Cedar Park, TX 78613 Phone: 201-467-9297 | |
Dr. Annamarie Osiecki, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 W Whitestone Blvd Ste 101, Cedar Park, TX 78613 Phone: 512-918-3000 |