William Ray Myers II, P.T.
Individual provider Active NPI Physical Therapist · Borger, TX
NPI 1124038658 · NPPES record last updated Aug 14, 2008
Key facts
- NPI
- 1124038658
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1051316 (TX)
- Practice address
- 511 W 3Rd St
Borger, TX 79007-4005 - Phone
- (806) 274-3737
- Fax
- (806) 274-3750
- NPI assigned
- Aug 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
511 W
3Rd
Borger, TX 79007-4005
Phone (806) 274-3737
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050506000400 | TX | Practitioner - Physical Therapist in Private Practice | 3971543166 | Practice locations: Borger, TX |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1051316 | TX | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1051316 | TX | Yes |
Addresses
Primary practice location
511 W 3Rd St
Borger, TX 79007-4005
Mailing address
511 W 3Rd St
Borger, TX 79007-4005
Phone (806) 274-3737
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 087732601 | Medicaid | TX | |
| 659944 | Other | TX | BCBS |
| 102573102 | Other | TX | FIRSTCARE |
Other providers in Borger, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.