| Advance Sports & Spine Therapy Llc | |
|
25030 Parkway Ave, #101, Wilsonville, OR 97070 | |
| (503) 723-0347 | |
| (503) 655-9305 |
| Full Name | Advance Sports & Spine Therapy Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 25030 Parkway Ave, Wilsonville, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669405767 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| 261QP2000X | Clinic/center - Physical Therapy | (Oregon) | Secondary |
| Provider Name | Jeffrey D Cox |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326026758 PECOS PAC ID: 8527037134 Enrollment ID: I20040930000407 |
| Provider Name | Christine M Hughes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235332669 PECOS PAC ID: 5496844532 Enrollment ID: I20071127000815 |
| Provider Name | Adam E Reinecker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629238720 PECOS PAC ID: 0345313201 Enrollment ID: I20080725000120 |
| Provider Name | Colleen D Kimoff |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386612885 PECOS PAC ID: 7113042607 Enrollment ID: I20100921001105 |
| Provider Name | Noel Marcel Tenoso |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841334141 PECOS PAC ID: 3274528815 Enrollment ID: I20120523000307 |
| Provider Name | Ronald Stibal |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952597809 PECOS PAC ID: 5890882229 Enrollment ID: I20121204000200 |
| Provider Name | Addison O Wise |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790317758 PECOS PAC ID: 9537596085 Enrollment ID: I20200306002125 |
| Provider Name | Kristen E Curtis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891911475 PECOS PAC ID: 9234438870 Enrollment ID: I20221101003124 |
| Provider Name | Sandra J Hilton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053386680 PECOS PAC ID: 9537197140 Enrollment ID: I20230608000390 |
| Provider Name | Adrian E Connolley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770268559 PECOS PAC ID: 5193185536 Enrollment ID: I20230718001048 |
| Mailing Address | Practice Location Address |
|---|---|
| Advance Sports & Spine Therapy Llc 1554 Garden St Ste 103, West Linn, OR 97068-3278 Ph: (503) 723-0347 | Advance Sports & Spine Therapy Llc 25030 Parkway Ave, #101, Wilsonville, OR 97070 Ph: (503) 723-0347 |
Mrs. Jaime Leigh Dutra Doppee, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 25030 Sw Parkway Ave, 101, Wilsonville, OR 97070 Phone: 503-582-1073 Fax: 503-582-1093 | |
Marcia E. Powell, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 25117 Sw Parkway Ave, Suite D, Wilsonville, OR 97070 Phone: 503-570-3665 | |
Jessica Kele Kathleen Murdin, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 25117 Sw Parkway Ave Ste D, Wilsonville, OR 97070 Phone: 503-570-3665 | |
Kristine J Spencer, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8890 Sw Holly Ln, Suite B, Wilsonville, OR 97070 Phone: 503-682-7565 Fax: 503-682-8750 | |
Mr. Ian Andrew Mclean, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 30900 Sw Parkway Ave, Wilsonville, OR 97070 Phone: 503-682-2840 Fax: 503-682-2869 | |
Mrs. Anne Eileen Miller, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 25117 Sw Parkway Ave Ste D, Wilsonville, OR 97070 Phone: 503-570-3665 | |
Jennifer Lynne Rees-gross, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 25117 Sw Parkway Ave Ste D, Wilsonville, OR 97070 Phone: 402-871-3843 |