| Samuel Kullen Mancil, | |
|
208 W Mcneese St, Lake Charles, LA 70605-5638 | |
| (337) 824-5488 | |
| Not Available |
| Full Name | Samuel Kullen Mancil |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 208 W Mcneese St, Lake Charles, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679271977 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 11254 (Louisiana) | Primary |
| Provider Name | Thibodeaux Albro & Touchet Therapy Group Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1104973262 PECOS PAC ID: 7719081801 Enrollment ID: O20070329000354 |
| Provider Name | Southwest Louisiana Sports And Rehabilitation Center, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1841357761 PECOS PAC ID: 5890854434 Enrollment ID: O20081111000513 |
| Provider Name | Iowa Therapy Group, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1578617924 PECOS PAC ID: 9133288772 Enrollment ID: O20081111000542 |
| Provider Name | Calcasieu Therapy Group Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1487085320 PECOS PAC ID: 8325270358 Enrollment ID: O20140407000525 |
| Provider Name | Lake Charles Sports & Rehab |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1194301317 PECOS PAC ID: 2961802293 Enrollment ID: O20210608003132 |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel Kullen Mancil, 1322 Elton Rd Ste I, Jennings, LA 70546-4100 Ph: () - | Samuel Kullen Mancil, 208 W Mcneese St, Lake Charles, LA 70605-5638 Ph: (337) 824-5488 |
Jared Trent Landry, D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2100 Oak Park Blvd, Lake Charles, LA 70601 Phone: 337-310-5116 | |
Alfie Dulap, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4430 Brown St Apt F, Lake Charles, LA 70607 Phone: 646-491-2718 | |
Moss Bluff Physical Therapy Physical Therapist Medicare: Medicare Enrolled Practice Location: 867 Sam Houston Jones Pkwy, Lake Charles, LA 70611 Phone: 337-855-2600 Fax: 337-855-0015 | |
Tiffany Dipaolo, PT,DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1727 Imperial Blvd Bldg 3, Lake Charles, LA 70605 Phone: 337-478-5880 | |
Prof. Jason W Adams, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1709 W Prien Lake Rd Ste B, Lake Charles, LA 70601 Phone: 337-474-5201 Fax: 337-474-5524 | |
Bayou Physical Therapy, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 4112 Lake St Ste 600, Lake Charles, LA 70605 Phone: 337-602-8614 Fax: 225-282-2890 | |
Synergy Care Southeast Llc - Georgia Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 127 W Broad St, Lake Charles, LA 70601 Phone: 337-310-8500 Fax: 888-241-3028 |