Kyle Ingram, OTR | |
470 Ne Stephens St, Suite 102, Roseburg, OR 97470-3158 | |
(541) 673-5770 | |
(541) 673-5774 |
Full Name | Kyle Ingram |
---|---|
Gender | Male |
Speciality | Occupational Therapy |
Experience | 36 Years |
Location | 470 Ne Stephens St, Roseburg, Oregon |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336479989 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 579 (Oregon) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Therapeutic Services Llc | 0648315614 | 3 |
Provider Name | Therapeutic Services Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1336479971 PECOS PAC ID: 0648315614 Enrollment ID: O20100303000238 |
Mailing Address | Practice Location Address |
---|---|
Kyle Ingram, OTR 470 Ne Stephens St, Suite 102, Roseburg, OR 97470-3158 Ph: (541) 673-5770 | Kyle Ingram, OTR 470 Ne Stephens St, Suite 102, Roseburg, OR 97470-3158 Ph: (541) 673-5770 |
Rebecca Irene Moyer, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2198 Ne Stephens St Ste 101, Roseburg, OR 97470 Phone: 541-900-1418 Fax: 541-900-1419 | |
Camille E Campanaro, OTD OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1871 Ne Stephens St, Roseburg, OR 97470 Phone: 541-670-6012 | |
Philip Michael Cusack, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1871 Ne Stephens St, Roseburg, OR 97470 Phone: 541-440-4794 | |
Brock Kolander, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 913 Nw Garden Valley Blvd, Roseburg, OR 97471 Phone: 541-440-1000 | |
James Diemert, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 470 Ne Stephens St, Suite 102, Roseburg, OR 97470 Phone: 541-673-5770 Fax: 541-673-5774 | |
Daniel Lee Palmcook, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 913 Nw Garden Valley Blvd, Building One, Room C100, Roseburg, OR 97470 Phone: 541-440-1000 |