Northwest Physical Therapy Inc | |
408 Central Dr, Azle, TX 76020-3140 | |
(817) 444-8827 | |
Not Available |
Full Name | Northwest Physical Therapy Inc |
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Type | Facility |
Speciality | Physical Therapist |
Location | 408 Central Dr, Azle, Texas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114507852 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225100000X | Physical Therapist | (* (Not Available)) | Primary |
261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Secondary |
Provider Name | Shane Bradley Wall |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1992287619 PECOS PAC ID: 7113326083 Enrollment ID: I20210526000048 |
Mailing Address | Practice Location Address |
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Northwest Physical Therapy Inc 133 Single Tree Rd, Decatur, TX 76234-1850 Ph: (254) 592-0418 | Northwest Physical Therapy Inc 408 Central Dr, Azle, TX 76020-3140 Ph: (817) 444-8827 |
Caitlynn Perry, DPY Physical Therapist Medicare: Medicare Enrolled Practice Location: 245 W Main St, Azle, TX 76020 Phone: 817-270-2975 Fax: 817-270-3596 | |
Kelsey Robers, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 245 W Main St, Azle, TX 76020 Phone: 817-270-2975 | |
Jeremy Corbin, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 137 Industrial Ave, Azle, TX 76020 Phone: 817-270-2975 Fax: 817-370-9891 | |
Alex Gustaf, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 137 Industrial Ave Ste B, Azle, TX 76020 Phone: 817-270-2975 Fax: 817-270-3596 | |
Kurt Dinkle, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 721 Dunaway Ln, Azle, TX 76020 Phone: 409-782-6060 | |
Andrew Sewell, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 137 Industrial Ave, Azle, TX 76020 Phone: 817-270-2975 |