Mr Mitchell Robert Gauthier, PT | |
2419 Hwy 121, Bedford, TX 76021 | |
(817) 540-4477 | |
(817) 540-5633 |
Full Name | Mr Mitchell Robert Gauthier |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 27 Years |
Location | 2419 Hwy 121, Bedford, 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 |
---|---|---|---|
1376585760 | NPI | - | NPPES |
332086YTNB | Other | TX | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 006043 (Connecticut) | Secondary |
225100000X | Physical Therapist | 1209690 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ideal Physical Therapy Of Texas Llc | 0547583809 | 278 |
Provider Name | Premier Rehab Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1609886472 PECOS PAC ID: 3375522063 Enrollment ID: O20040716000050 |
Provider Name | Ideal Physical Therapy Of Texas Llc |
---|---|
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 |
---|---|
Mr Mitchell Robert Gauthier, PT 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: () - | Mr Mitchell Robert Gauthier, PT 2419 Hwy 121, Bedford, TX 76021 Ph: (817) 540-4477 |
Ginamar Galvan, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1705 Forest Ridge Dr, Bedford, TX 76022 Phone: 812-786-8058 | |
Emily Olguin, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1424 Airport Fwy Ste U, Bedford, TX 76022 Phone: 817-858-0390 Fax: 817-858-0842 | |
Mr. Gerold Wayne Valentine Jr., PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1424 Airport Fwy, # U, Bedford, TX 76022 Phone: 817-858-0390 Fax: 817-858-0842 | |
Sarah Meyer, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 404 Racquet Club Blvd, Bedford, TX 76022 Phone: 682-738-3056 | |
Archana Patel, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2112 Forum Pkwy, Bedford, TX 76021 Phone: 817-799-4600 | |
Mr. Scott Bulger, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2425 Highway 121, Bedford, TX 76021 Phone: 817-510-4083 Fax: 817-510-0185 | |
Claudia Gorgi Brower, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2419 Highway 121, Bedford, TX 76021 Phone: 817-835-8025 Fax: 844-813-7801 |