Blake Carney, PT | |
14711 Fryelands Blvd Se Ste 153, Monroe, WA 98272 | |
(360) 794-4892 | |
(360) 794-4679 |
Full Name | Blake Carney |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 14711 Fryelands Blvd Se Ste 153, Monroe, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730673112 | NPI | - | NPPES |
2105549 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 60843638 (Washington) | Primary |
Provider Name | X2 Performance Institute Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1962755694 PECOS PAC ID: 7113246828 Enrollment ID: O20150430002140 |
Mailing Address | Practice Location Address |
---|---|
Blake Carney, PT 16083 Sw Upper Boones Ferry Rd Ste 300, Tigard, OR 97224-7736 Ph: (800) 219-8835 | Blake Carney, PT 14711 Fryelands Blvd Se Ste 153, Monroe, WA 98272 Ph: (360) 794-4892 |
Allison Fenton, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 17792 147th St Se # 1030, Monroe, WA 98272 Phone: 360-464-4358 | |
Therapeutic Associates Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17792 147th St Se, Monroe, WA 98272 Phone: 360-794-4892 Fax: 360-794-4679 | |
John Edward Peckenpaugh, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 17792 147th St Se, Monroe, WA 98272 Phone: 360-794-4892 Fax: 360-794-4679 | |
Elizabeth Lynn Malatesta, D.P.T Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14841 179th Ave Se Ste 120, Monroe, WA 98272 Phone: 360-794-1407 | |
Brian Joseph Russon, M.S.P.T.ATC Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 14841 179th Ave Se, Suite 340, Monroe, WA 98272 Phone: 360-794-7520 Fax: 360-794-8947 | |
Sarah Katherine Megahee, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14701 179th Ave Se, Monroe, WA 98272 Phone: 360-794-7497 | |
Dr. Rosemary Coldsnow, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 17792 147th St Se, Monroe, WA 98272 Phone: 360-464-4358 |