Kerwin Noel Payabyab Custodio, PT
Kerwin Noel Payabyab Custodio, PT is a Physical Therapist in Private Practice in McKinney, Texas. Qualified in 1997, 29 years ago. Practices with Elata Health and Wellness, LLC, a 6-clinician group and accepts Medicare assignment. Licensed in Texas.
- Years since qualifying
- 29
- Licensed in
- TX
- In the registry since
- 2011
- Specialties on file
- 3
What do these letters mean?
- PT — Physical Therapist
- A licensed therapist who treats movement, pain and injury.
Practice location Address checks out
2600 Eldorado Pkwy Ste 130McKinney, TX 75070-7517
Phone: (972) 984-7670
Fax: (972) 984-7671
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 1190952 (TX) |
|---|---|
| Neurology Physical Therapist | Taxonomy 2251N0400X · Licence 1190952 (TX) |
| Orthopedic Physical Therapist | Taxonomy 2251X0800X · Licence 1190952 (TX) |
Record details
| NPI number | 1497037188 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PT |
| Sole proprietor | No |
| NPI enumerated | September 19, 2011 |
| Last updated in NPPES | December 16, 2022 |
| Certification date | December 16, 2022 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 1997 (29 years in practice) |
| Group practice | Elata Health And Wellness, Llc — 6 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |