Mariah Velasco, PT | |
2700 N Grimes St Ste C, Hobbs, NM 88240-1816 | |
(575) 392-4129 | |
Not Available |
Full Name | Mariah Velasco |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 2700 N Grimes St Ste C, Hobbs, 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 |
---|---|---|---|
1992242333 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 4847 (New Mexico) | Primary |
Provider Name | Ideal Physical Therapy Of Texas Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1538573746 PECOS PAC ID: 0547583809 Enrollment ID: O20141218000890 |
Mailing Address | Practice Location Address |
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Mariah Velasco, PT 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: () - | Mariah Velasco, PT 2700 N Grimes St Ste C, Hobbs, NM 88240-1816 Ph: (575) 392-4129 |
Eric Cabato, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2700 N Grimes St, Hobbs, NM 88240 Phone: 575-392-4010 | |
Mr. Angel Ramon Ponce, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2700 N Grimes St, Hobbs, NM 88240 Phone: 575-392-4129 Fax: 575-392-3835 | |
Danielle Alyse Roberts, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3324 N Lovington Hwy, Hobbs, NM 88240 Phone: 575-441-5054 | |
Deanna Teel, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2700 N Grimes St, Suite C, Hobbs, NM 88240 Phone: 575-392-4129 Fax: 575-392-3835 | |
Timothy Dennis Ryan, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3830 N Grimes St, Suite B, Hobbs, NM 88240 Phone: 575-392-3971 Fax: 575-392-4169 | |
Jason Coloma, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2424 N Lovington Hwy, Hobbs, NM 88240 Phone: 575-492-9505 | |
Mrs. Robin Broom, M.S. P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2700 N Grimes St, Hobbs, NM 88240 Phone: 505-392-4129 Fax: 505-392-3835 |