Whitley Madison, PT, DPT | |
5311 N Loop 1604 W, San Antonio, TX 78249-3987 | |
(726) 227-9610 | |
Not Available |
Full Name | Whitley Madison |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 5311 N Loop 1604 W, San Antonio, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558099796 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT5159 (Arkansas) | Secondary |
225100000X | Physical Therapist | CP032581T (Texas) | Primary |
Provider Name | Serc Rehabilitation Partners Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1760745244 PECOS PAC ID: 9830344563 Enrollment ID: O20150220000556 |
Mailing Address | Practice Location Address |
---|---|
Whitley Madison, PT, DPT 5311 N Loop 1604 W, San Antonio, TX 78249-3987 Ph: (830) 302-2960 | Whitley Madison, PT, DPT 5311 N Loop 1604 W, San Antonio, TX 78249-3987 Ph: (726) 227-9610 |
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