Peterpaul Mayo Chanliongco, PT | |
207 Us Highway 60 W, Republic, MO 65738-1432 | |
(417) 732-1388 | |
(417) 732-6014 |
Full Name | Peterpaul Mayo Chanliongco |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 207 Us Highway 60 W, Republic, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982649125 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 100395 (Missouri) | Primary |
Provider Name | Physical Therapy, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1609965128 PECOS PAC ID: 6103844360 Enrollment ID: O20051107000003 |
Provider Name | Phoenix Home Care, Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1841881869 PECOS PAC ID: 4183896004 Enrollment ID: O20190508003233 |
Mailing Address | Practice Location Address |
---|---|
Peterpaul Mayo Chanliongco, PT 207 Us Highway 60 W, Republic, MO 65738-1432 Ph: (417) 732-1388 | Peterpaul Mayo Chanliongco, PT 207 Us Highway 60 W, Republic, MO 65738-1432 Ph: (417) 732-1388 |
Martin Dale Hodges, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 830 S Illinois Ave, Republic, MO 65738 Phone: 417-269-1900 Fax: 417-269-1904 | |
Morgan Scardino, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2673 E Sawyer Rd, Republic, MO 65738 Phone: 417-324-7646 | |
Dynamic Strides Therapy Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2673 E Sawyer Rd, Republic, MO 65738 Phone: 479-422-1183 Fax: 479-202-8282 | |
Republic R-iii Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 518 N Hampton Ave, Republic, MO 65738 Phone: 417-732-3605 Fax: 417-732-3609 | |
Serc - Republic Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 578 E Harrison St, Republic, MO 65738 Phone: 417-763-6348 Fax: 417-763-6848 | |
Victoria Percy, Physical Therapist Medicare: Medicare Enrolled Practice Location: 2673 E Sawyer Rd, Republic, MO 65738 Phone: 417-324-7646 | |
Dave Bremer, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5030 S Westwood Dr, Republic, MO 65738 Phone: 417-235-8770 Fax: 417-235-8780 |