Anthony Michael Agostini, | |
3871 Fairview Industrial Dr Se Ste 120, Salem, OR 97302-1172 | |
(503) 990-6393 | |
Not Available |
Full Name | Anthony Michael Agostini |
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Gender | Male |
Speciality | Physical Therapist |
Location | 3871 Fairview Industrial Dr Se Ste 120, Salem, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1053048694 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225100000X | Physical Therapist | 64614 (Oregon) | Primary |
Provider Name | Sportscare Physical Therapy @ Cornell, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1649534793 PECOS PAC ID: 7517115579 Enrollment ID: O20120917000315 |
Provider Name | Kinetix Physical Therapy Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1760123764 PECOS PAC ID: 0941675110 Enrollment ID: O20230331002663 |
Mailing Address | Practice Location Address |
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Anthony Michael Agostini, 3871 Fairview Industrial Dr Se Ste 120, Salem, OR 97302-1172 Ph: () - | Anthony Michael Agostini, 3871 Fairview Industrial Dr Se Ste 120, Salem, OR 97302-1172 Ph: (503) 990-6393 |
Cody Levi Lamont, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 925 Commercial St Se Ste 310, Salem, OR 97302 Phone: 503-561-5999 | |
Helen Margareta Akerberg Evans, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 285 Liberty St Ne, Suite 170, Salem, OR 97301 Phone: 503-588-6633 Fax: 503-540-3427 | |
Sara J Atkinson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 853 Medical Center Dr Ne, Salem, OR 97301 Phone: 503-364-5313 Fax: 503-364-5296 | |
Lori Diane Vanlith, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6633 Christy Ct Se, Salem, OR 97317 Phone: 503-999-3838 | |
Dr. Derek Lee Palmer, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2521 Boone Rd Se # 100, Salem, OR 97306 Phone: 503-585-5131 Fax: 503-585-4065 |