Jarrett W Lange (NPI# 1174500805, PAC ID# 6800846999) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1174500805 |
| PAC ID by PECOS | 6800846999 |
| Professional Enrollment ID | I20050126000814 |
| Full Name | Jarrett W Lange |
| Organization Legal Name | ODESSA PHYSICAL THERAPY PC |
| Address |
4407 N Grandview Ave Odessa TX 79762-5311 |
| Phone Number | 4323669541 |
| Gender | M |
| Credential | PT |
| Medical School | TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 2163324955 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4407 N Grandview Ave, Odessa, TX 79762-5311 | 4323669541 | ODESSA PHYSICAL THERAPY PC |
| Organization Legal Name | ODESSA PHYSICAL THERAPY PC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alexis Lizbeth Hernandez | Physical Therapy | Odessa Physical Therapy PC | 4407 N Grandview Ave, Odessa, TX 79762-5311 |
| Siria M Dutchover | Occupational Therapy | Odessa Physical Therapy PC | 4407 N Grandview Ave, Odessa, TX 79762-5311 |
| Wade H Shelby | Physical Therapy | Odessa Physical Therapy PC | 4407 N Grandview Ave, Odessa, TX 79762-5311 |
| Denise A Manley | Physical Therapy | Odessa Physical Therapy PC | 4407 N Grandview Ave, Odessa, TX 79762-5311 |
| Elizabeth D Cooper | Occupational Therapy | Odessa Physical Therapy PC | 4407 N Grandview Ave, Odessa, TX 79762-5311 |
| Katie Lynn Reeves | Occupational Therapy | Odessa Physical Therapy PC | 4407 N Grandview Ave, Odessa, TX 79762-5311 |
| Christiana M Robichaud | Physical Therapy | Odessa Physical Therapy PC | 4407 N Grandview Ave, Odessa, TX 79762-5311 |
| Jaymie L Fletcher | Physical Therapy | Odessa Physical Therapy PC | 4407 N Grandview Ave, Odessa, TX 79762-5311 |
| Street Address |
4407 N GRANDVIEW AVE |
| City | ODESSA |
| State | TX |
| Zip | 79762-5311 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alexis Lizbeth Hernandez | Physical Therapy | Odessa Physical Therapy PC | 4407 N Grandview Ave, Odessa, TX 79762-5311 |
| Siria M Dutchover | Occupational Therapy | Odessa Physical Therapy PC | 4407 N Grandview Ave, Odessa, TX 79762-5311 |
| Wade H Shelby | Physical Therapy | Odessa Physical Therapy PC | 4407 N Grandview Ave, Odessa, TX 79762-5311 |
| Denise A Manley | Physical Therapy | Odessa Physical Therapy PC | 4407 N Grandview Ave, Odessa, TX 79762-5311 |
| Elizabeth D Cooper | Occupational Therapy | Odessa Physical Therapy PC | 4407 N Grandview Ave, Odessa, TX 79762-5311 |
| Katie Lynn Reeves | Occupational Therapy | Odessa Physical Therapy PC | 4407 N Grandview Ave, Odessa, TX 79762-5311 |
| Christiana M Robichaud | Physical Therapy | Odessa Physical Therapy PC | 4407 N Grandview Ave, Odessa, TX 79762-5311 |
| Jaymie L Fletcher | Physical Therapy | Odessa Physical Therapy PC | 4407 N Grandview Ave, Odessa, TX 79762-5311 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christine Wyman Wan | Family Practice | Michael V Shelton Md Pa | 3051 E University Dr, Odessa, TX 79762 |
| Rickey W Hamby Jr. | Family Medicine | 6110 Eastridge Rd, Odessa, TX 79762-5002 | |
| Nalin Tolia | Ophthalmology | Nalin H Tolia Pa | 6005 Eastridge Rd, Odessa, TX 79762-5021 |
| Rebecca A Sanchez | Physician Assistant | Arlington Orthopedic Associates Pa | 6010 E Hwy 191, Suite 125, Odessa, TX 79762-5042 |
| Christopher D Cummins | Chiropractic | Clark Chiropractic Clinic | 6301 Eastridge Rd, Odessa, TX 79762-5045 |
| Christian L Tschauner | Chiropractic | Clark Chiropractic Clinic | 6301 Eastridge Rd, Odessa, TX 79762-5045 |
| Stewart R Weaver | Chiropractic | Clark Chiropractic Clinic | 6301 Eastridge Rd, Odessa, TX 79762-5045 |
| Jordan E Brown | Chiropractic | Clark Chiropractic Clinic | 6301 Eastridge Rd, Odessa, TX 79762-5045 |
| James W Kirk | Chiropractic | Clark Chiropractic Clinic | 6301 Eastridge Rd, Odessa, TX 79762-5045 |
| Bobby R Richter | Chiropractic | Clark Chiropractic Clinic | 6301 Eastridge Rd, Odessa, TX 79762-5045 |
| Find all physicians in zip 79762 | |||
| City | ODESSA |
| Zip Code | 79762 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | ODESSA + PHYSICAL THERAPY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.