| Action Rehabilitation & Sports Medicine, P.c. | |
|
1619 Nw Hawthorne Ave, Suite 109, Grants Pass, OR 97526-6008 | |
| (541) 472-1799 | |
| (541) 472-1699 |
| Full Name | Action Rehabilitation & Sports Medicine, P.c. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1619 Nw Hawthorne Ave, Grants Pass, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326237769 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 4012 (Oregon) | Primary |
| Provider Name | Ronald L Lopez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669554242 PECOS PAC ID: 8820058563 Enrollment ID: I20041018000154 |
| Provider Name | Rebecca Katherine Iden |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033538251 PECOS PAC ID: 3779800537 Enrollment ID: I20150317000036 |
| Provider Name | Jeffrey Allen Cusumano |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568008803 PECOS PAC ID: 5799107801 Enrollment ID: I20200618001755 |
| Mailing Address | Practice Location Address |
|---|---|
| Action Rehabilitation & Sports Medicine, P.c. 1619 Nw Hawthorne Ave, Suite 109, Grants Pass, OR 97526-6008 Ph: (541) 472-1799 | Action Rehabilitation & Sports Medicine, P.c. 1619 Nw Hawthorne Ave, Suite 109, Grants Pass, OR 97526-6008 Ph: (541) 472-1799 |
Jennifer Ostfeld Medley, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 702 Sw Ramsey Ave Ste 220, Grants Pass, OR 97527 Phone: 541-479-0765 Fax: 541-479-3461 | |
Doranne Long, M.S., P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 544 Union Ave, Grants Pass, OR 97527 Phone: 541-955-0940 Fax: 541-955-5233 | |
Jonathan Anders, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 625 Sw Ramsey Ave Ste B, Grants Pass, OR 97527 Phone: 541-479-6979 | |
Kimberly Ann Johnson, PHYSICAL THERAPIST Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 625 Sw Ramsey, Suite B, Grants Pass, OR 97527 Phone: 541-476-1919 Fax: 541-476-1920 | |
Bruce Balcita Jr., DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 337 Union Ave Ste D, Grants Pass, OR 97527 Phone: 541-974-8572 | |
Impact Physical Therapy, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 625 Ramsey Ave, Suite B, Grants Pass, OR 97527 Phone: 541-476-1919 Fax: 541-476-1920 | |
Mr. Ted Iwamizu, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 873 Ne 7th St, Grants Pass, OR 97526 Phone: 541-474-6955 |