Mr Edward Richard Broad, MPT | |
611 W Brown St, #101, Wylie, TX 75098 | |
(972) 442-5287 | |
(972) 442-3181 |
Full Name | Mr Edward Richard Broad |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 26 Years |
Location | 611 W Brown St, Wylie, Texas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235152117 | NPI | - | NPPES |
0021MG | Other | BCBS GRP | |
P00223957 | Other | MEDICARE RAILROAD IND | |
DD3715 | Other | MEDICARE RAILROAD GRP | |
8T3999 | Other | BCBS IND |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 1152490 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Peak Physical Therapy, Llc | 0648583344 | 69 |
Provider Name | Peak Physical Therapy, Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1700271913 PECOS PAC ID: 0648583344 Enrollment ID: O20150724010198 |
Mailing Address | Practice Location Address |
---|---|
Mr Edward Richard Broad, MPT 611 W Brown St, #101, Wylie, TX 75098 Ph: (972) 442-5287 | Mr Edward Richard Broad, MPT 611 W Brown St, #101, Wylie, TX 75098 Ph: (972) 442-5287 |
Lauren Nicole Woodson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 611 W Brown St Ste 101, Wylie, TX 75098 Phone: 972-442-5287 | |
Mango Physical Therapy & Wellness, Pllc Physical Therapist Medicare: Medicare Enrolled Practice Location: 3501 Catalpa Dr, Wylie, TX 75098 Phone: 814-637-7946 | |
Dr. Amanda Lee Steen, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 520 W Brown St, Suite D, Wylie, TX 75098 Phone: 972-442-7401 | |
Diego Ortiz, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 426 Ashland Dr, Wylie, TX 75098 Phone: 972-400-8178 | |
Kailey Littlefield, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 731 Woodbridge Parkway, Wylie, TX 75098 Phone: 972-771-8111 | |
Bex Physical Therapy And Wellness Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 218 Champion Dr, Wylie, TX 75098 Phone: 469-484-6812 Fax: 469-519-1612 | |
Lauren Daughtry, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 600 Cooper Dr, Wylie, TX 75098 Phone: 972-442-6525 |