Michael Mccormick, PT, DPT | |
5141 E. I-20, Service Road North, Willow Park, TX 76087 | |
(817) 441-1971 | |
(817) 441-1266 |
Full Name | Michael Mccormick |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 5141 E. I-20, Service Road North, Willow Park, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356710636 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 1195438 (Texas) | Primary |
Provider Name | Vista Jv Partners Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1326753377 PECOS PAC ID: 3274998224 Enrollment ID: O20230427000944 |
Mailing Address | Practice Location Address |
---|---|
Michael Mccormick, PT, DPT 879 Eureka St, Weatherford, TX 76086-5807 Ph: (817) 596-8751 | Michael Mccormick, PT, DPT 5141 E. I-20, Service Road North, Willow Park, TX 76087 Ph: (817) 441-1971 |
Jean Marzen, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 110 Mary Lou Dr, Willow Park, TX 76087 Phone: 817-945-3344 | |
Heloise Murphy, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 3333 Ranch House Rd, Willow Park, TX 76087 Phone: 817-757-2214 | |
Ann Mcintyre, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 110 Mary Lou Dr Ste 100, Willow Park, TX 76087 Phone: 817-945-3344 | |
Matthew Dobbins, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 110 Mary Lou Dr Ste 100, Willow Park, TX 76087 Phone: 817-945-3344 |