Olive Physical Therapy Llc | |
2400 W Pioneer Pkwy Ste 108, Pantego, TX 76013-6091 | |
(682) 276-3040 | |
(817) 207-4184 |
Full Name | Olive Physical Therapy Llc |
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Type | Facility |
Speciality | Physical Therapist |
Location | 2400 W Pioneer Pkwy Ste 108, Pantego, Texas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831701549 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Rachel Elizabeth Vinyard |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1932493442 PECOS PAC ID: 5395165831 Enrollment ID: I20201021002839 |
Provider Name | Katherine (kay) Quinn Trammell |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1679800676 PECOS PAC ID: 9931114287 Enrollment ID: I20211015000552 |
Provider Name | Jacob W Robinson |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1417622986 PECOS PAC ID: 8022407303 Enrollment ID: I20211108000017 |
Provider Name | Deborah R Reddout |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1033833850 PECOS PAC ID: 4385091230 Enrollment ID: I20231114002345 |
Mailing Address | Practice Location Address |
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Olive Physical Therapy Llc 2400 W Pioneer Pkwy Ste 108, Pantego, TX 76013-6091 Ph: (682) 276-3040 | Olive Physical Therapy Llc 2400 W Pioneer Pkwy Ste 108, Pantego, TX 76013-6091 Ph: (682) 276-3040 |
Jacob Robinson, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2400 W Pioneer Pkwy Ste 108, Pantego, TX 76013 Phone: 682-276-3040 | |
Eric M Pike, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2400 W Pioneer Pkwy Ste 108, Pantego, TX 76013 Phone: 682-276-3040 Fax: 817-207-4184 | |
Rachel Elizabeth Vinyard, PT, DPT, MPT, OCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2400 W Pioneer Pkwy Ste 108, Pantego, TX 76013 Phone: 682-276-3040 |