Dr Timothy M Theriault, PT in Addison, TX - Medicare Physical Therapist Provider

Dr Timothy M Theriault, PT is a medicare enrolled "Physical Therapist" provider in Addison, Texas. His current practice location is 17051 Dallas Pkwy Ste 430, Addison, Texas. You can reach out to his office (for appointments etc.) via phone at (469) 248-3962.

Dr Timothy M Theriault is licensed to practice in Texas (license number 1069417) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1336343490.

Contact Information

	Dr Timothy M Theriault, PT
	17051 Dallas Pkwy Ste 430, Addison, TX 75001-7111
	(469) 248-3962
	(469) 206-0697

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Timothy M Theriault
Gender	Male
Speciality	Physical Therapist
Location	17051 Dallas Pkwy Ste 430, Addison, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336343490
Provider Enumeration Date: 06/13/2007
Last Update Date: 05/14/2022

Medicare PECOS Information:

PECOS PAC ID: 4385731637
Enrollment ID: I20230905002116

Medical Identifiers

Medical identifiers for Dr Timothy M Theriault such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336343490	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	1069417 (Texas)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Timothy M Theriault allows following entities to bill medicare on his behalf.

Provider Name	Vista Jv Partners Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1326753377 PECOS PAC ID: 3274998224 Enrollment ID: O20230427000944

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Timothy M Theriault is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Timothy M Theriault, PT 242 Stanley Falls Dr, Anna, TX 75409-5049 Ph: (469) 487-9890	Dr Timothy M Theriault, PT 17051 Dallas Pkwy Ste 430, Addison, TX 75001-7111 Ph: (469) 248-3962

Reviews and Comments

Physical Therapist in Addison, TX

Jessica Alvarado Barrios, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15820 Addison Rd, Addison, TX 75001 Phone: 214-575-2999
Nupur Maheshwari, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 14665 Midway Rd Ste 110, Addison, TX 75001 Phone: 972-382-9732
Bruno Martins Frazao, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 14665 Midway Rd Ste 110, Addison, TX 75001 Phone: 972-382-9992
Pivot Rehabilitation Services, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 16750 Westgrove Dr Ste 300c, Addison, TX 75001 Phone: 972-729-6957
Holland Kitten, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15820 Addison Rd, Addison, TX 75001 Phone: 806-577-2878
Robert David Stewart, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17051 Dallas Pkwy, Suite 450, Addison, TX 75001 Phone: 469-416-5250 Fax: 469-416-5260
Laura Chiu, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 15800 Midway Rd, Addison, TX 75001 Phone: 615-778-4066 Fax: 615-778-9114

Dr Timothy M Theriault, PT - Medicare Physical Therapist in Addison, TX