Thomas Slack
Thomas Slack is registered under Physical Therapist in Private Practice in Dallas, Texas. Qualified in 2021, 5 years ago. Practices with Ideal Physical Therapy of Texas LLC, a 360-clinician group and accepts Medicare assignment.
- Years since qualifying
- 5
- In the registry since
- 2021
Practice location Address checks out
12747 Midway Rd Ste 150Dallas, TX 75244-6304
Phone: (972) 979-6577
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X |
|---|
Record details
| NPI number | 1649948399 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 30, 2021 |
| Last updated in NPPES | August 30, 2021 |
| Certification date | August 30, 2021 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | Ideal Physical Therapy Of Texas Llc — 360 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Medicare patients and services, 2024
| Medicare patients | 104 |
|---|---|
| Services billed | 2,738 |
| Average patient age | 75 |
Colleagues at Ideal Physical Therapy of Texas LLC
- Jensine Shine Canullas Chavez Physical Therapist · Pflugerville, TX
- Mr. Dylan Cruz I Student in an Organized Health Care Education/Training Program · Pflugerville, TX
- Priyanka Gianchandani, DPT Physical Therapist · Dallas, TX
- Gregory Steven Lark Physical Therapist · Dallas, TX
- Dr. Brady James Llewellyn, DPT Physical Therapy Clinic/Center · Austin, TX
- Calli Loving, PT, DPT Physical Therapist · Dallas, TX
- Anisha Moorthy, PT, DPT Physical Therapist · Addison, TX
- Joseph David Nocito III, PT, DPT Physical Therapist · San Antonio, TX
- Dezirae Robinson, DPT Physical Therapist · Round Rock, TX
- Lyandria Taylor, PT, DPT Physical Therapist · Albuquerque, NM
- Danyelle Ellsworth Todd Physical Therapist · Georgetown, TX
- Fabiana Bastos Villari, DPT Physical Therapy Assistant · Fort Worth, TX
Other providers in Dallas
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Randell Lewis Simpson, PT
7115 Greenville Ave Ste 300, Dallas, TX 75231-5108 · (214) 239-0990
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Dylan Singletary
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Zachary Sipzner
909 N Washington Ave, Dallas, TX 75246-1520 · (214) 820-9300
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Dr. Braden Lee Skrove, DPT
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Kathlyn Sloan
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Sloan Whole Health LLC
3200 Rankin St, Dallas, TX 75205-1419 · (214) 744-3599
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Ellen Slugg
411 N Washington Ave Ste 3900, Dallas, TX 75246-1713 · (945) 468-9009
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Alexus Smith
4500 S Lancaster Rd, Dallas, TX 75216-7167 · (214) 857-1279