Upstate Physical Therapy Pc | |
4401 North I-35, Suite 110, Denton, TX 76207 | |
(940) 483-9020 | |
(940) 483-9021 |
Full Name | Upstate Physical Therapy Pc |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 4401 North I-35, Denton, Texas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053417410 | NPI | - | NPPES |
4LV | Other | TX | BCBS OF TX GROUP NUMBER |
168705501 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 655410000 (Texas) | Primary |
Provider Name | Matthew L Infanzon |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1346259587 PECOS PAC ID: 7214991710 Enrollment ID: I20041116000134 |
Provider Name | Leesa E Echols |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1134433741 PECOS PAC ID: 1456545870 Enrollment ID: I20101029001055 |
Provider Name | Carolyn R Sink |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1922090679 PECOS PAC ID: 0446223606 Enrollment ID: I20130709000223 |
Provider Name | Michael Watson |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1215287677 PECOS PAC ID: 2365626595 Enrollment ID: I20190128002201 |
Provider Name | Viet Q Ho |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1104431006 PECOS PAC ID: 8123447935 Enrollment ID: I20200929000205 |
Provider Name | Krystal Rosario Perez |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1477151926 PECOS PAC ID: 4789094905 Enrollment ID: I20201117000157 |
Provider Name | Christopher W Cannon |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1043885015 PECOS PAC ID: 6103228903 Enrollment ID: I20210716000392 |
Provider Name | Gideon Rempel |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1740957604 PECOS PAC ID: 7012315195 Enrollment ID: I20211004001401 |
Provider Name | Tejasva R Patel |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1386265833 PECOS PAC ID: 1052761939 Enrollment ID: I20231219003015 |
Mailing Address | Practice Location Address |
---|---|
Upstate Physical Therapy Pc 4401 North I-35, Suite 110, Denton, TX 76207 Ph: (940) 483-9020 | Upstate Physical Therapy Pc 4401 North I-35, Suite 110, Denton, TX 76207 Ph: (940) 483-9020 |
Dailen Carson, Physical Therapist Medicare: Medicare Enrolled Practice Location: 3537 S Interstate 35 E Ste 103c, Denton, TX 76210 Phone: 940-253-7060 | |
Justina Elizabeth Philip, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2318 San Jacinto Blvd Ste 108, Denton, TX 76205 Phone: 940-380-9111 | |
Erica Sommer, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2004 Emery St, Denton, TX 76201 Phone: 940-387-1101 | |
Benjamin Stephen Gloff, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2535 W Oak St, Denton, TX 76201 Phone: 940-382-2649 | |
Mrs. Kim Eileen Mcneal, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1010 N Elm St, Suite C, Denton, TX 76201 Phone: 940-566-6645 Fax: 940-566-6634 | |
Jonathan Marshall, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2318 San Jacinto Blvd Ste 108, Denton, TX 76205 Phone: 940-380-9111 |