Nicolas Civale, | |
5001 Statesman Dr, Irving, TX 75063-2414 | |
(469) 524-1506 | |
Not Available |
Full Name | Nicolas Civale |
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Gender | Male |
Speciality | Physical Therapist |
Location | 5001 Statesman Dr, Irving, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356808463 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 011659 (Connecticut) | Primary |
Provider Name | Evolution Physical Therapy Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1659805117 PECOS PAC ID: 5092084244 Enrollment ID: O20170705000264 |
Mailing Address | Practice Location Address |
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Nicolas Civale, 129 Greenwoods Ln, East Windsor, CT 06088-9692 Ph: (860) 372-8013 | Nicolas Civale, 5001 Statesman Dr, Irving, TX 75063-2414 Ph: (469) 524-1506 |
Peter Zatezalo, DPT, OCS, COMT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5001 Statesman Dr, Irving, TX 75063 Phone: 469-524-1506 | |
Dr. Ebelechukwu Chikodili Nduka, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7701 Las Colinas Rdg Ste 110, Irving, TX 75063 Phone: 214-574-7848 | |
Toni Bernett Lindsey, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6750 N Macarthur Blvd, Irving, TX 75039 Phone: 972-969-2140 | |
Seth Manly, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2001 N Macarthur Blvd, Suite 550, Irving, TX 75061 Phone: 972-579-4398 | |
Christy Coppolo, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5001 Statesman Dr, Irving, TX 75063 Phone: 800-788-4815 | |
Athletico Ltd Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 125 N Macarthur Blvd, Irving, TX 75061 Phone: 972-887-3318 Fax: 972-887-3527 | |
Alejandra Maria Ordaz, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1431 Greenway Dr Ste 500, Irving, TX 75038 Phone: 210-457-2000 |