Active Life Physical Therapy, Llc | |
9483 Oak Bay Rd, Port Ludlow, WA 98365-9794 | |
(360) 437-2444 | |
(800) 952-8902 |
Full Name | Active Life Physical Therapy, Llc |
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Type | Facility |
Speciality | Physical Therapist |
Location | 9483 Oak Bay Rd, Port Ludlow, Washington |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598818262 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT00009409 (Washington) | Primary |
Provider Name | Michael A Haberpointner |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1275686909 PECOS PAC ID: 8123072154 Enrollment ID: I20050311000443 |
Provider Name | Timothy M Mansour |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1629402052 PECOS PAC ID: 2062648736 Enrollment ID: I20131202001822 |
Provider Name | Faye King |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1518583368 PECOS PAC ID: 1759704612 Enrollment ID: I20200710000630 |
Provider Name | Bailey Havens |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1609547447 PECOS PAC ID: 0446649529 Enrollment ID: I20211110002567 |
Provider Name | Taelor Stagner |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1518657808 PECOS PAC ID: 6608234075 Enrollment ID: I20230615003261 |
Provider Name | Rayanne Alyssa Garcia |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1952184269 PECOS PAC ID: 2769837996 Enrollment ID: I20231009001319 |
Mailing Address | Practice Location Address |
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Active Life Physical Therapy, Llc 9483 Oak Bay Rd, Port Ludlow, WA 98365-9794 Ph: (360) 437-2444 | Active Life Physical Therapy, Llc 9483 Oak Bay Rd, Port Ludlow, WA 98365-9794 Ph: (360) 437-2444 |
Mr. Michael Andre Haberpointner, M.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9483 Oak Bay Rd, Port Ludlow, WA 98365 Phone: 360-437-2444 Fax: 800-952-8902 | |
Sharla Dee Erich, LPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 136 Bridgeview Ln, Port Ludlow, WA 98365 Phone: 707-684-9701 | |
Faye King, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9483 Oak Bay Rd, Port Ludlow, WA 98365 Phone: 360-437-2444 | |
Therapy To Me, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 136 Bridgeview Pl, Port Ludlow, WA 98365 Phone: 707-684-9700 | |
Bailey Havens, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9483 Oak Bay Rd, Port Ludlow, WA 98365 Phone: 360-437-2444 Fax: 360-437-4190 | |
Timothy Michael Mansour, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9483 Oak Bay Rd, Port Ludlow, WA 98365 Phone: 360-437-2444 |