| Active Wellness Llc | |
|
120 Sw 4th St Ste 170, Corvallis, OR 97333-4896 | |
| (541) 286-5445 | |
| (800) 527-4735 |
| Full Name | Active Wellness Llc |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist |
| Location | 120 Sw 4th St Ste 170, Corvallis, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972151595 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
| Provider Name | Peggy D Stein |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225126568 PECOS PAC ID: 6103851779 Enrollment ID: I20051003000291 |
| Mailing Address | Practice Location Address |
|---|---|
| Active Wellness Llc 2135 Nw Evergreen St, Corvallis, OR 97330-1109 Ph: (541) 829-9505 | Active Wellness Llc 120 Sw 4th St Ste 170, Corvallis, OR 97333-4896 Ph: (541) 286-5445 |
Mrs. Susan Gorthey Bottomley, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2211 Nw Professional Dr, Ste 100, Corvallis, OR 97330 Phone: 541-757-7269 Fax: 541-757-7465 | |
Loretta Rivard, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 815 Nw 9th St, Suite 202, Corvallis, OR 97330 Phone: 541-768-5254 | |
Kiera T Stukey, MOT OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 815 Nw 9th St Ste 180, Corvallis, OR 97330 Phone: 541-768-5157 | |
Mrs. Mary Tenney Quibrera, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3600 Nw Samaritan Dr, Corvallis, OR 97330 Phone: 541-768-5048 | |
Mrs. Amy Easterly Nistico, M.O.T. Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 815 Nw 9th St, Suite180, Corvallis, OR 97330 Phone: 541-768-5157 | |
Rachel Wortman, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3600 Nw Samaritan Dr, Corvallis, OR 97330 Phone: 541-768-5111 | |
Mr. Alan Todd King, O.T.R. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 815 Nw 9th St Ste 180, Corvallis, OR 97330 Phone: 541-768-5157 Fax: 541-768-5080 |