Vivid Performance Physical Therapy in Northlake, TX

Vivid Performance Physical Therapy is a Physical Therapist based in Northlake, Texas. Vivid Performance Physical Therapy is licensed to practice in * (Not Available) (license number ) and their current practice location is 1517 15th Street, Northlake, Texas. It can be reached at their office (for appointments etc.) via phone at (269) 377-5117.

NPI number for Vivid Performance Physical Therapy is 1083259139 and their current mailing address is 1517 15th Street, Northlake, Texas. Vivid Performance Physical Therapy does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1083259139.

Contact Information

	Vivid Performance Physical Therapy
	1517 15th Street, Northlake, TX 76226
	(269) 377-5117
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Vivid Performance Physical Therapy
Type	Facility
Speciality	Physical Therapist
Location	1517 15th Street, Northlake, Texas
Accepts Medicare Assignments	Does not participate in Medicare Program. The facility may not accept medicare assignment.

NPI Data:

NPI Number: 1083259139
Provider Enumeration Date: 11/13/2019
Last Update Date: 11/13/2019

Medical Identifiers

Medical identifiers for Vivid Performance Physical Therapy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083259139	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(* (Not Available))	Primary
2251S0007X	Physical Therapist - Sports	(* (Not Available))	Secondary
2251X0800X	Physical Therapist - Orthopedic	(* (Not Available))	Secondary

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. Vivid Performance Physical Therapy is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Vivid Performance Physical Therapy 1517 15th Street, Northlake, TX 76226 Ph: () -	Vivid Performance Physical Therapy 1517 15th Street, Northlake, TX 76226 Ph: (269) 377-5117

Reviews and Comments

Physical Therapist in Northlake, TX

Emily Shay Harrell, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Plaza Pl Ste 400, Northlake, TX 76226 Phone: 940-242-2002 Fax: 940-271-0128
Life Changes Physical Therapy Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 719 Blueberry Ln, Northlake, TX 76247 Phone: 402-619-6222
Dr. Matthew Douglas Cunningham, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1700 Commons Cir Ste 100, Northlake, TX 76226 Phone: 940-213-9001
Keaton Elliot Yowell, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 100 Plaza Pl Ste 400, Northlake, TX 76226 Phone: 940-242-2002 Fax: 940-271-0128

Vivid Performance Physical Therapy - Physical Therapist in Northlake, TX