Blaze Jims Mammen, in Allen, TX - Physical Therapist

Blaze Jims Mammen, is a Physical Therapist based in Allen, Texas. Blaze Jims Mammen is licensed to practice in Texas (license number 1270540) and her current practice location is 2035 W Mcdermott Dr Ste 460, Allen, Texas. She can be reached at her office (for appointments etc.) via phone at (214) 289-6159.

NPI number for Blaze Jims Mammen is 1053775379 and her current mailing address is 305 Ne Loop 820, Business Tower 1 ,suite 200, Hurst, Texas. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053775379.

Contact Information

	Blaze Jims Mammen,
	2035 W Mcdermott Dr Ste 460, Allen, TX 75013-4733
	(214) 289-6159
	Not Available

Healthcare Provider's Profile

Full Name	Blaze Jims Mammen
Gender	Female
Speciality	Physical Therapist
Location	2035 W Mcdermott Dr Ste 460, Allen, Texas
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1053775379
Provider Enumeration Date: 04/12/2016
Last Update Date: 04/12/2016

Medical Identifiers

Medical identifiers for Blaze Jims Mammen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053775379	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	1270540 (Texas)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Blaze Jims Mammen is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Blaze Jims Mammen, 305 Ne Loop 820, Business Tower 1 ,suite 200, Hurst, TX 76053-7209 Ph: (817) 292-8787	Blaze Jims Mammen, 2035 W Mcdermott Dr Ste 460, Allen, TX 75013-4733 Ph: (214) 289-6159

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Physical Therapist in Allen, TX

Mrs. Michelle Mundy Teague, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1223 W Mcdermott Dr Ste 50, Allen, TX 75013 Phone: 972-359-1288 Fax: 972-359-9652
John Burgess, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 650 S Greenville Ave, Allen, TX 75002 Phone: 877-407-3422 Fax: 877-407-4329
Joel Reyes Pt, Dpt, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1427 Capstan Dr, Allen, TX 75013 Phone: 614-214-5890
Katy M Ranes, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 963 Sam Rayburn Tollway, Allen, TX 75013 Phone: 469-322-1400
Parker Schofield Folliard, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1101 Raintree Cir Ste 150, Allen, TX 75013 Phone: 469-313-0910
Lynn Kernan, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1223 W Mcdermott Dr, Suite 50, Allen, TX 75013 Phone: 972-359-1288 Fax: 972-359-9652
Kai Qi Cui, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1267 W Exchange Pkwy Ste 400, Allen, TX 75013 Phone: 945-899-6343

Blaze Jims Mammen, - Physical Therapist in Allen, TX