Mrs Destiny Thomas, PT, DPT | |
809 Chennault Ln, Whiteman Afb, MO 65305-1121 | |
(318) 243-0561 | |
Not Available |
Full Name | Mrs Destiny Thomas |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 809 Chennault Ln, Whiteman Afb, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518697531 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | CP008850T (Missouri) | Primary |
225100000X | Physical Therapist | PT6089 (Mississippi) | Secondary |
Provider Name | Serc Rehabilitation Partners Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1760745244 PECOS PAC ID: 9830344563 Enrollment ID: O20130304000500 |
Provider Name | Encore Rehabilitation Services Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1336896240 PECOS PAC ID: 8123403904 Enrollment ID: O20221114000295 |
Mailing Address | Practice Location Address |
---|---|
Mrs Destiny Thomas, PT, DPT 809 Chennault Ln, Whiteman Afb, MO 65305-1121 Ph: (318) 243-0561 | Mrs Destiny Thomas, PT, DPT 809 Chennault Ln, Whiteman Afb, MO 65305-1121 Ph: (318) 243-0561 |
Haley Elizabeth James, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 331 Sijan Ave, 509 Mdg, Whiteman Afb, MO 65305 Phone: 660-687-2128 | |
Dr. Ryan Mcneil Proffit, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 331 Sijan Ave, Whiteman Afb, MO 65305 Phone: 660-687-2128 | |
Ron Giles, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 331 Sijan Ave, Whiteman Afb, MO 65305 Phone: 660-687-3933 | |
Rachel Luann Coryell, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 331 Sijan Avenue, Whiteman Afb, MO 65305 Phone: 660-687-2128 |