| Rockport Physical Medicine Pa | |
|
2011 Highway 35 N Rockport TX 78382-3302 | |
| (361) 729-2225 | |
| (361) 729-2483 |
| Full Name | Rockport Physical Medicine Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 2011 Highway 35 N, Rockport, Texas |
| Authorized Official Name and Position | Katharine E Mcnamara (OWNER) |
| Authorized Official Contact | 3617292225 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rockport Physical Medicine Pa 2011 Highway 35 N Rockport TX 78382-3302 Ph: (361) 729-2225 | Rockport Physical Medicine Pa 2011 Highway 35 N Rockport TX 78382-3302 Ph: (361) 729-2225 |
| NPI Number | 1851745558 |
|---|---|
| Provider Enumeration Date | 04/19/2016 |
| Last Update Date | 06/30/2023 |
| Medicare PECOS PAC ID | 4284933805 |
|---|---|
| Medicare Enrollment ID | O20160504000498 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851745558 | NPI | - | NPPES |
| 388692101 | Medicaid | TX | |
| 00E7Z8 | Other | TX | BCBS |
| Provider Name | Walter G Shull |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083691323 PECOS PAC ID: 9931151636 Enrollment ID: I20050210000590 |
| Provider Name | Jed S Mcnally |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124051727 PECOS PAC ID: 8628023090 Enrollment ID: I20050318000031 |
| Provider Name | Bradley W Hawkins |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1275638629 PECOS PAC ID: 6103800461 Enrollment ID: I20101201000762 |
| Provider Name | Joshua M Forbes |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1518234442 PECOS PAC ID: 8820253842 Enrollment ID: I20120625000716 |
| Provider Name | Katharine E Mcnamara |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558621334 PECOS PAC ID: 1951527373 Enrollment ID: I20151015001252 |
| Provider Name | Stacey Lynn Darnold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366932352 PECOS PAC ID: 6507111853 Enrollment ID: I20180611000900 |
| Provider Name | Cassie A Kuykendall |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568741585 PECOS PAC ID: 4486980752 Enrollment ID: I20190724001466 |
| Provider Name | Julia Lynn Hebert |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043942634 PECOS PAC ID: 5890152839 Enrollment ID: I20230606001883 |
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