| Bonney Lake Physical Therapy And Hand Rehab, Pllc | |
|
20910 State Route 410 E, Bonney Lake, WA 98391-6302 | |
| (253) 862-2575 | |
| (253) 862-2675 |
| Full Name | Bonney Lake Physical Therapy And Hand Rehab, Pllc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 20910 State Route 410 E, Bonney Lake, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558509786 | NPI | - | NPPES |
| 246114 | Other | WA | LABOR AND INDUSTRIES PT/ MICHAEL |
| 7421EG | Other | WA | BLUE SHIELD MICHAEL PT |
| G8879641 | Other | WA | MEDICARE PTAN BRANDY |
| 246111 | Other | WA | LABOR AND INDUSTRIES OT/ BRANDY |
| 264113 | Other | WA | LABOR AND INDUSTRIES |
| 6598CA | Other | WA | BLUE SHILD BRANDY OT |
| 7146897 | Medicaid | WA | |
| G8879917 | Other | WA | INDIVIDUAL PTAN MICHCAEL |
| 8368854 | Other | WA | MEDICAID OCCUPATIONAL THERAPY |
| 8543712 | Other | WA | MEDICAID PHYSICAL THERAPY |
| Provider Name | Michelle M Smith |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265469993 PECOS PAC ID: 6103819842 Enrollment ID: I20040407000685 |
| Provider Name | Brandy M Campbell |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821005760 PECOS PAC ID: 3870572894 Enrollment ID: I20040714001123 |
| Provider Name | Paul F Groschel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114902673 PECOS PAC ID: 8729098942 Enrollment ID: I20060502000445 |
| Provider Name | Lindsey J Knox |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679817910 PECOS PAC ID: 7719130988 Enrollment ID: I20140124000423 |
| Provider Name | Blake D Rowinski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871048439 PECOS PAC ID: 3375892755 Enrollment ID: I20180817001168 |
| Provider Name | Matthew Lusk |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770255440 PECOS PAC ID: 6709284268 Enrollment ID: I20211013002893 |
| Provider Name | Po-an Tsai |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912614009 PECOS PAC ID: 2062882715 Enrollment ID: I20221221002585 |
| Provider Name | Nicole Veronica Cerny |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558825554 PECOS PAC ID: 1456693209 Enrollment ID: I20230712004110 |
| Provider Name | Kristi Greenfield |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013679141 PECOS PAC ID: 0749678472 Enrollment ID: I20230914003162 |
| Mailing Address | Practice Location Address |
|---|---|
| Bonney Lake Physical Therapy And Hand Rehab, Pllc 20910 State Route 410 E, Bonney Lake, WA 98391-6302 Ph: (253) 862-2575 | Bonney Lake Physical Therapy And Hand Rehab, Pllc 20910 State Route 410 E, Bonney Lake, WA 98391-6302 Ph: (253) 862-2575 |
Megan Hofstede, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10004 204th Ave E Ste 3100, Bonney Lake, WA 98391 Phone: 253-863-7510 | |
Althea Parry-childerley, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 10004 204th Ave E Ste 3100, Bonney Lake, WA 98391 Phone: 253-863-7510 Fax: 253-863-5970 | |
Travis Laird, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10004 204th Ave E, Ste 3100, Bonney Lake, WA 98391 Phone: 253-863-7510 Fax: 253-863-5970 | |
Susan M Beardemphl, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10004 204th Ave E, Ste 3100, Bonney Lake, WA 98391 Phone: 253-863-7510 Fax: 253-863-5970 | |
Mr. Michael Andrew Egbert, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 20910 Sr 410 E, Bonney Lake, WA 98391 Phone: 253-862-2575 Fax: 253-862-2675 | |
Performance Sports And Spine Physical Therapy Ps Physical Therapist Medicare: Medicare Enrolled Practice Location: 21525 Hwy 410 E, Suite B, Bonney Lake, WA 98391 Phone: 253-826-8520 Fax: 253-826-8522 | |
Martha Elizabeth Glenn, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 19820 Sr 410 E, Suite 201, Bonney Lake, WA 98391 Phone: 253-863-7510 Fax: 253-863-5970 |