Ma Teresa Sison Enciso (NPI# 1871657916, PAC ID# 9739103235) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1871657916 |
| PAC ID by PECOS | 9739103235 |
| Professional Enrollment ID | I20060124000499 |
| Full Name | Ma Teresa Sison Enciso |
| Organization Legal Name | MA TERESA SISON ENCISO PT PC CORP |
| Address |
124 Ichord Ave Waynesville MO 65583-5406 |
| Phone Number | 5737743684 |
| Gender | F |
| Credential | PT |
| Graduation Year | 1978 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 7113941618 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 124 Ichord Ave, Waynesville, MO 65583-5406 | 5737743684 | MA TERESA SISON ENCISO PT PC CORP |
| Organization Legal Name | MA TERESA SISON ENCISO PT PC CORP |
| Physicians | 1 |
| Street Address |
124 ICHORD AVE |
| City | WAYNESVILLE |
| State | MO |
| Zip | 65583-5406 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa L Smith | Nurse Practitioner | Pcrmc Medical Group, Inc | 1000 Gw Ln, Waynesville, MO 65583-2339 |
| Sammy L Radcliff | Nurse Practitioner | Pcrmc Medical Group, Inc | 1000 Gw Ln, Waynesville, MO 65583-2339 |
| Kimberly D Bohlmann | Family Practice | Pcrmc Medical Group, Inc | 1000 Gw Ln, Waynesville, MO 65583-2339 |
| Tabitha L Ogle | Chiropractic | Ogle Chiropractic and Rehab Center LLC | 100 Lafayette Cir, Suite A, Waynesville, MO 65583-2430 |
| Shane R Ogle | Chiropractic | Ogle Chiropractic and Rehab Center LLC | 100 Lafayette Cir, Suite A, Waynesville, MO 65583-2430 |
| Amanda F Brumley | Clinical Social Worker | Benton Street Counseling LLC | 119 N Benton St, Waynesville, MO 65583-2501 |
| Jerry W Brown | Optometry | 1390 State Route F, Waynesville, MO 65583-2827 |
| City | WAYNESVILLE |
| Zip Code | 65583 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | WAYNESVILLE + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Ma Teresa Sison Enciso.
| 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.