Sidney Braddock, PHYSICAL THERAPIST | |
2760 N Grandview Ave Ste A, Odessa, TX 79762-6953 | |
(432) 552-7034 | |
(432) 552-7165 |
Full Name | Sidney Braddock |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 28 Years |
Location | 2760 N Grandview Ave Ste A, Odessa, Texas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144836891 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 1105591 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Optimus Physical Therapy And Orthosport Specialists Pllc | 2264606458 | 3 |
Provider Name | Optimus Physical Therapy And Orthosport Specialists Pllc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1366733172 PECOS PAC ID: 2264606458 Enrollment ID: O20120928000181 |
Mailing Address | Practice Location Address |
---|---|
Sidney Braddock, PHYSICAL THERAPIST 2760 N Grandview Ave Ste A, Odessa, TX 79762-6953 Ph: (432) 552-7034 | Sidney Braddock, PHYSICAL THERAPIST 2760 N Grandview Ave Ste A, Odessa, TX 79762-6953 Ph: (432) 552-7034 |
Sandra L Ashton, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4218 Wendover, Odessa, TX 79762 Phone: 432-550-4520 Fax: 432-550-2480 | |
Phytex Rehabilitation & Sports Medicine Associates Physical Therapist Medicare: Medicare Enrolled Practice Location: 2525 N Grandview Ave, Suite 400, Odessa, TX 79761 Phone: 432-550-4700 Fax: 432-550-4715 | |
Brandon Pepper, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2525 N Grandview Ave Ste 400, Odessa, TX 79761 Phone: 432-550-4700 | |
Jennifer Erlene Fowler, PT,DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 620 N Alleghaney Ave, Odessa, TX 79761 Phone: 432-332-8244 Fax: 432-580-7428 | |
Emmanuel Enverga, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1020 N County Rd W, Odessa, TX 79763 Phone: 432-332-0371 | |
Permian Basin Rehabilitation Center For Crippled Children And Adults Physical Therapist Medicare: Medicare Enrolled Practice Location: 620 N Alleghaney Ave, Odessa, TX 79761 Phone: 432-332-8244 Fax: 432-580-7428 | |
Alexis Lizbeth Kauten-crews, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4407 N Grandview Ave, Odessa, TX 79762 Phone: 432-366-9541 |