Maeselle Tissnolthtos La Paz, | |
1280 N Mildred Rd, Ste 2, Cortez, CO 81321-2212 | |
(970) 564-0311 | |
(970) 564-0313 |
Full Name | Maeselle Tissnolthtos La Paz |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 4 Years |
Location | 1280 N Mildred Rd, Cortez, Colorado |
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 |
---|---|---|---|
1033710629 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT5767 (New Mexico) | Secondary |
225100000X | Physical Therapist | PTL.0017554 (Colorado) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Johnson Physical Therapy And Rehab Pc | 0446140248 | 6 |
Provider Name | Johnson Physical Therapy And Rehab Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1982729968 PECOS PAC ID: 0446140248 Enrollment ID: O20040316001353 |
Mailing Address | Practice Location Address |
---|---|
Maeselle Tissnolthtos La Paz, 1280 N Mildred Rd, Ste 2, Cortez, CO 81321-2212 Ph: (970) 564-0311 | Maeselle Tissnolthtos La Paz, 1280 N Mildred Rd, Ste 2, Cortez, CO 81321-2212 Ph: (970) 564-0311 |
Mr. Najib Chapman Johnson, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1280 N Mildred Rd, Ste 2, Cortez, CO 81321 Phone: 970-564-0311 Fax: 970-564-0313 | |
Ms. Debra Berger, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 1280 N Mildred Rd, Ste 2, Cortez, CO 81321 Phone: 970-564-0311 Fax: 970-564-0313 | |
Susan Ullman, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1206 N Mildred Rd, Cortez, CO 81321 Phone: 970-564-1888 | |
Jacki Ann Gilpin, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2712 Fairway Dr, Cortez, CO 81321 Phone: 970-715-1719 Fax: 970-422-7238 | |
Brooke Mcdonald, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 111 N Park St Ste B, Cortez, CO 81321 Phone: 970-516-1600 Fax: 970-459-3048 | |
Herb B Pike, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 719 Cherry St, Cortez, CO 81321 Phone: 970-564-0263 Fax: 970-564-0263 |