Thomas Fairbank, DPT | |
3142 Horizon Rd Ste 100, Rockwall, TX 75032-7815 | |
(817) 442-9300 | |
Not Available |
Full Name | Thomas Fairbank |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 3142 Horizon Rd Ste 100, Rockwall, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346630373 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 070.021209 (Illinois) | Secondary |
225100000X | Physical Therapist | 1273780 (Texas) | Primary |
Provider Name | Dan O Kelley |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1902020076 PECOS PAC ID: 3971511825 Enrollment ID: I20060404000232 |
Mailing Address | Practice Location Address |
---|---|
Thomas Fairbank, DPT 7410 Melrose Ave, University City, MO 63130-1718 Ph: (630) 253-5600 | Thomas Fairbank, DPT 3142 Horizon Rd Ste 100, Rockwall, TX 75032-7815 Ph: (817) 442-9300 |
Emily Bleyer, Physical Therapist Medicare: Medicare Enrolled Practice Location: 225 E Ralph Hall Pkwy, Rockwall, TX 75032 Phone: 877-407-3422 Fax: 877-407-4329 | |
Physical Therapy Today Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3007 Ridge Rd, Rockwall, TX 75032 Phone: 469-887-1021 Fax: 469-314-1021 | |
Ryan Allen Baumgartner, PT, DPT, CSCS Physical Therapist Medicare: Medicare Enrolled Practice Location: 1205 N Goliad St, Rockwall, TX 75087 Phone: 701-325-0080 | |
Tara Meetra Khalili, Physical Therapist Medicare: Medicare Enrolled Practice Location: 225 E Ralph Hall Pkwy, Rockwall, TX 75032 Phone: 877-407-3422 Fax: 877-407-4329 | |
Kimberly Kathleen Hackbart, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2504 Ridge Rd, Suite 205, Rockwall, TX 75087 Phone: 972-768-9230 Fax: 972-722-4087 | |
Mariah Bertrand, Physical Therapist Medicare: Medicare Enrolled Practice Location: 2268 N Lake Shore Dr Ste 106, Rockwall, TX 75087 Phone: 972-979-6577 | |
Wendy Mary Davidson, LPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 930 W Ralph Hall Parkway Suite 120, Rockwall, TX 75032 Phone: 972-771-0999 Fax: 972-771-2281 |