Thad Thibodeaux, | |
425 University Blvd, Round Rock, TX 78665-1047 | |
(512) 509-0200 | |
Not Available |
Full Name | Thad Thibodeaux |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 11 Years |
Location | 425 University Blvd, Round Rock, 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 |
---|---|---|---|
1144699562 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 1255336 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Agilitas Usa Inc | 3375454648 | 681 |
Provider Name | Agilitas Usa Inc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1962417444 PECOS PAC ID: 3375454648 Enrollment ID: O20160425001328 |
Mailing Address | Practice Location Address |
---|---|
Thad Thibodeaux, Po Box 844658, Dallas, TX 75284-4658 Ph: (254) 724-8800 | Thad Thibodeaux, 425 University Blvd, Round Rock, TX 78665-1047 Ph: (512) 509-0200 |
Tracy L Hieber, PT, ATC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 425 University Blvd, Round Rock, TX 78665 Phone: 512-509-0200 | |
Vickie J Cherry-smith, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2700 Sunrise Rd, Round Rock, TX 78664 Phone: 512-244-0236 | |
Aaron Wells, PT, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1700 E Palm Valley Blvd, Ste 395, Round Rock, TX 78664 Phone: 512-354-4067 Fax: 512-354-4068 | |
Blaine Eric Booher, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 16020 Park Valley Dr, Round Rock, TX 78681 Phone: 512-388-1448 Fax: 512-388-7854 | |
Mrs. Tina Marie Warring, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 16040 Park Valley Dr, Building B, Suite 100, Round Rock, TX 78681 Phone: 512-218-1222 Fax: 512-218-1393 | |
Mrs. Amy Louise Blair, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4701 Campus Village Dr., Round Rock, TX 78665 Phone: 208-440-4162 | |
Jennifer A Falzone, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 2000 S. Mays St, Suite 302, Round Rock, TX 78664 Phone: 512-244-4272 Fax: 512-244-2895 |