Lisa Altena, | |
165 Steve Barry Blvd, Pryor, OK 74361-6841 | |
(918) 824-4500 | |
(918) 824-1977 |
Full Name | Lisa Altena |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 9 Years |
Location | 165 Steve Barry Blvd, Pryor, Oklahoma |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366819591 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 1261196 (Texas) | Secondary |
225100000X | Physical Therapist | CP003248T (Oklahoma) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Orthopaedic Center Pc | 8123915626 | 20 |
Provider Name | Orthopaedic Center Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1639115116 PECOS PAC ID: 8123915626 Enrollment ID: O20040301000465 |
Provider Name | Drayer Physical Therapy Oklahoma Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1316345705 PECOS PAC ID: 7315240744 Enrollment ID: O20160119002137 |
Mailing Address | Practice Location Address |
---|---|
Lisa Altena, 4500 E Sam Houston Pkwy S, Suite 215, Pasadena, TX 77505-3959 Ph: (281) 487-2786 | Lisa Altena, 165 Steve Barry Blvd, Pryor, OK 74361-6841 Ph: (918) 824-4500 |
Gage W Park, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 165 Steve Barry Blvd, Pryor, OK 74361 Phone: 918-824-4500 Fax: 918-824-1977 | |
Meghan Teitz, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 165 Steve Barry Blvd, Pryor, OK 74361 Phone: 918-824-4500 | |
Jason P Hartog, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1486 S Elliott St, Pryor, OK 74361 Phone: 918-825-2333 Fax: 918-825-6266 | |
Angela Marie Cohen, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1486 S Elliott St, Pryor, OK 74361 Phone: 918-825-2333 Fax: 918-825-6266 | |
Drayer Physical Therapy Oklahoma Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 165 Steve Barry Blvd, Pryor, OK 74361 Phone: 918-824-4500 Fax: 918-824-1977 | |
Mrs. Wendi Schaffitzel, PT, CHT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1486 S Elliott St, Pryor, OK 74361 Phone: 918-825-2333 |