Boardman Pt - Medicare Physical Therapist in Boardman, OR

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Boardman Pt is a medicare enrolled "Physical Therapist" provider in Boardman, Oregon. Their current practice location is 101 Sw Kinkade Rd, Boardman, Oregon. You can reach out to their office (for appointments etc.) via phone at (801) 987-8600.

Boardman Pt is licensed to practice in Oregon (license number ) and it also participates in the medicare program. Boardman Pt is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1205344405.

Contact Information

Boardman Pt
101 Sw Kinkade Rd,
Boardman, OR 97818-9001
(801) 987-8600
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameBoardman Pt
TypeFacility
SpecialityPhysical Therapist
Location101 Sw Kinkade Rd, Boardman, Oregon
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1205344405
  • Provider Enumeration Date: 01/22/2018
  • Last Update Date: 05/04/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 5597026880
  • Enrollment ID: O20180301001284

Medical Identifiers

Medical identifiers for Boardman Pt such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205344405NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist (Oregon)Primary
225X00000XOccupational Therapist (Oregon)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Boardman Pt acts as a billing entity for following providers:
Provider NameShelley K Mccabe
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1073746541
PECOS PAC ID: 4880740380
Enrollment ID: I20090924000721
Provider NameTodd E Brown
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1093708166
PECOS PAC ID: 5092605246
Enrollment ID: I20110527000167
Provider NameAmanda Carnine
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1376808881
PECOS PAC ID: 7416100466
Enrollment ID: I20121227000175
Provider NameGerald H Geurts
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1669465837
PECOS PAC ID: 1355231507
Enrollment ID: I20140805001395
Provider NameJames M Wortley
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1326031493
PECOS PAC ID: 6800786062
Enrollment ID: I20141021001322
Provider NameAshley D Pearce
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1336534049
PECOS PAC ID: 3678885324
Enrollment ID: I20150708003268
Provider NameKrystal M Seitz
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1912399734
PECOS PAC ID: 3375859697
Enrollment ID: I20150901003408
Provider NamePaul G Wortley
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1417940586
PECOS PAC ID: 9931099181
Enrollment ID: I20151221002453
Provider NameRichard D Wortley
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1689667859
PECOS PAC ID: 3072403229
Enrollment ID: I20170823000565
Provider NameLandan Morgan
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1043710452
PECOS PAC ID: 4880956671
Enrollment ID: I20180529000730
Provider NameRegina Lazinka
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1629445010
PECOS PAC ID: 8022353457
Enrollment ID: I20181213000052
Provider NameEmily Wood
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1700455102
PECOS PAC ID: 5799187415
Enrollment ID: I20210716001497
Provider NameElizabeth Weideman
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1861857146
PECOS PAC ID: 5597120618
Enrollment ID: I20230425001590
Provider NameTaylor Turner
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1861185423
PECOS PAC ID: 7911365671
Enrollment ID: I20230628001098

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Boardman Pt is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Boardman Pt
Po Box 540640,
North Salt Lake, UT 84054-0640

Ph: () -		Boardman Pt
101 Sw Kinkade Rd,
Boardman, OR 97818-9001

Ph: (801) 987-8600

Reviews and Comments


Physical Therapist in Boardman, OR

Elizabeth Shanks, PT, DPT, LMT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 251 Ne Eldridge Dr, Boardman, OR 97818
Phone: 541-481-2533    Fax: 541-314-4448
Brice Leion, PT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 101 Sw Kinkade Rd, Boardman, OR 97818
Phone: 541-481-2533    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.