Luke Randall Dewitt, DPT | |
2400 Farmington Ave, Farmington, NM 87401-4509 | |
(505) 326-0064 | |
(505) 327-3995 |
Full Name | Luke Randall Dewitt |
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Gender | Male |
Speciality | Physical Therapist |
Location | 2400 Farmington Ave, Farmington, New Mexico |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164285482 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT6126 (New Mexico) | Primary |
Provider Name | Therapy One Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1770596116 PECOS PAC ID: 8729173968 Enrollment ID: O20071002000790 |
Mailing Address | Practice Location Address |
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Luke Randall Dewitt, DPT 4113 Applewood Dr, Farmington, NM 87402-3041 Ph: (928) 292-0095 | Luke Randall Dewitt, DPT 2400 Farmington Ave, Farmington, NM 87401-4509 Ph: (505) 326-0064 |
Mr. Roger G. Rung, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2700 Farmington Ave, Farmington, NM 87401 Phone: 505-326-0761 | |
Anne Tolman Price, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-325-2511 | |
Mr. Greg David Mcmanus, PT, ATC Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 511 E 20th St, Farmington, NM 87401 Phone: 505-326-0064 Fax: 505-327-3995 | |
Four Corners Physical Therapy Limited Partnership Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3832 E Main St, Units E & F, Farmington, NM 87402 Phone: 505-564-2955 Fax: 505-564-2662 | |
Katherine Reardon, P.T., D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3832 E Main St, Units E And F, Farmington, NM 87402 Phone: 505-564-2955 Fax: 505-564-2662 | |
Neerly Famous Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2501 E 20th St., Suite #4, Farmington, NM 87401 Phone: 505-325-8360 Fax: 505-327-2424 | |
Caryl Ventura, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2800 Hutton Ave, Farmington, NM 87402 Phone: 505-215-0179 |