Tri State Physical Therapy in Fort Mohave, AZ - Medicare Physical Therapist Provider

Tri State Physical Therapy is a medicare enrolled "Physical Therapist" provider in Fort Mohave, Arizona. Their current practice location is 1510 E Wagon Wheel Ln, Fort Mohave, Arizona. You can reach out to their office (for appointments etc.) via phone at (928) 788-3333.

Tri State Physical Therapy is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Tri State Physical Therapy is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1245965342.

Contact Information

	Tri State Physical Therapy
	1510 E Wagon Wheel Ln, Fort Mohave, AZ 86426-6697
	(928) 788-3333
	(928) 788-3555

Map and Direction

Healthcare Provider's Profile

Full Name	Tri State Physical Therapy
Type	Facility
Speciality	Physical Therapist
Location	1510 E Wagon Wheel Ln, Fort Mohave, Arizona
Accepts Medicare Assignments	Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245965342
Provider Enumeration Date: 07/21/2022
Last Update Date: 09/29/2023

Medicare PECOS Information:

PECOS PAC ID: 1254796469
Enrollment ID: O20230421002264

Medical Identifiers

Medical identifiers for Tri State Physical Therapy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245965342	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(* (Not Available))	Primary
261QP2000X	Clinic/center - Physical Therapy	(* (Not Available))	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Tri State Physical Therapy acts as a billing entity for following providers:

Provider Name	Hanz K Tabora
Provider Type	Practitioner - Physical Therapist In Private Practice
Provider Identifiers	NPI Number: 1861891897 PECOS PAC ID: 1355667890 Enrollment ID: I20230421002291

Provider Name	Rhenand Mendoza
Provider Type	Practitioner - Physical Therapist In Private Practice
Provider Identifiers	NPI Number: 1427482991 PECOS PAC ID: 4284957226 Enrollment ID: I20230503002122

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. Tri State Physical Therapy 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
Tri State Physical Therapy 1510 E Wagon Wheel Ln Ste 110, Fort Mohave, AZ 86426-6698 Ph: (928) 248-0444	Tri State Physical Therapy 1510 E Wagon Wheel Ln, Fort Mohave, AZ 86426-6697 Ph: (928) 788-3333

Reviews and Comments

Physical Therapist in Fort Mohave, AZ

Fort Mohave Physical Therapy Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5902 S Highway 95, Suite 102, Fort Mohave, AZ 86426 Phone: 928-577-0336 Fax: 928-577-0337
Kolleen T Burr, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5300 Hwy 95, Suite J, Fort Mohave, AZ 86426 Phone: 928-788-3604
Dr. Gary A Rosenberg, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5449 Primavera Dr, Fort Mohave, AZ 86426 Phone: 801-915-6649
Steven Dewayne Smart, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1988 Gemini St, Fort Mohave, AZ 86426 Phone: 928-704-6228
Hanz K Tabora, P.T., DPT, FAAOMPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1510 E Wagon Wheel Ln Ste 110, Fort Mohave, AZ 86426 Phone: 904-994-5560

Tri State Physical Therapy - Medicare Physical Therapist in Fort Mohave, AZ