Mr Hunter Mandeville, DPT | |
1615 Dorchester Dr Ste 108, Plano, TX 75075-6329 | |
(972) 212-4019 | |
(972) 546-4796 |
Full Name | Mr Hunter Mandeville |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 10 Years |
Location | 1615 Dorchester Dr Ste 108, Plano, 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 |
---|---|---|---|
1144585480 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 1219017 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Glory Days Physical Therapy, Llc | 3577949049 | 2 |
Provider Name | Centre Of Physical Rehabilitation |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1164403036 PECOS PAC ID: 1557698651 Enrollment ID: O20190813000938 |
Provider Name | Glory Days Physical Therapy, Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1629798657 PECOS PAC ID: 3577949049 Enrollment ID: O20221006001624 |
Mailing Address | Practice Location Address |
---|---|
Mr Hunter Mandeville, DPT Po Box 837, Howe, TX 75459-0837 Ph: (903) 487-2248 | Mr Hunter Mandeville, DPT 1615 Dorchester Dr Ste 108, Plano, TX 75075-6329 Ph: (972) 212-4019 |
Shara Hilary Cummings, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4001 W 15th St, Plano, TX 75093 Phone: 972-979-6577 | |
Malavika Venkataraman, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3208 Thunderbird Ln, Plano, TX 75075 Phone: 972-422-2214 | |
Kathleen Oliva, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2200 Los Rios Blvd Ste 132, Plano, TX 75074 Phone: 972-509-5070 Fax: 972-509-1557 | |
Thomas Alan Domino, PT, SCS, CSCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1101 Ohio Dr Ste 110, Plano, TX 75093 Phone: 972-985-2622 | |
Kendra Lee Pike, MPT, CSCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1101 Ohio Dr, Suite 110, Plano, TX 75093 Phone: 972-985-2622 | |
Gayle Talley, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 7709 San Jacinto Pl # 203, Plano, TX 75024 Phone: 469-331-0030 | |
Mr. Bruce Anthony Lamotte Jr., PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5765 Bozeman Dr Apt 1205, Plano, TX 75024 Phone: 817-223-4501 |