| Bradshaw Physical Therapy & Wellness Center Llc | |
|
223 Wintersage Cir Unit A, Talent, OR 97540-9515 | |
| (541) 482-3126 | |
| (541) 482-0593 |
| Full Name | Bradshaw Physical Therapy & Wellness Center Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist - Orthopedic |
| Location | 223 Wintersage Cir Unit A, Talent, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609934504 | NPI | - | NPPES |
| 230041 | Medicaid | OR | |
| 838049001 | Other | OR | BCBS |
| 122002900 | Other | OR | US DEPT. OF LABOR |
| L5250-01 | Other | OR | PACIFICSOURCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251X0800X | Physical Therapist - Orthopedic | 2192 (Oregon) | Primary |
| Provider Name | Roger B Bradshaw |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841235173 PECOS PAC ID: 4688644818 Enrollment ID: I20040727001257 |
| Mailing Address | Practice Location Address |
|---|---|
| Bradshaw Physical Therapy & Wellness Center Llc 223 Wintersage Cir Unit A, Talent, OR 97540-9566 Ph: (541) 482-3126 | Bradshaw Physical Therapy & Wellness Center Llc 223 Wintersage Cir Unit A, Talent, OR 97540-9515 Ph: (541) 482-3126 |
Brad A Parmenter, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 331 S. Pacific Hwy., Suite A, Talent, OR 97540 Phone: 541-535-2551 Fax: 541-535-1417 | |
Mary Gorman, PT/LMT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 309 S Pacific Hwy, Talent, OR 97540 Phone: 541-535-7019 Fax: 541-512-8717 | |
Turning Point Physical Therapy Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 331 S. Pacific Hwy., Suite A, Talent, OR 97540 Phone: 541-535-2551 Fax: 541-535-1417 | |
Mountain View Physical Therapy Of Talent Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 209 N Pacific Hwy, Talent, OR 97540 Phone: 541-535-5524 Fax: 541-535-5690 | |
Dr. Jack Gillingham, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 288 S Pacific Hwy, Talent, OR 97540 Phone: 541-482-6360 | |
Roger B Bradshaw, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 223 Wintersage Cir Unit A, Talent, OR 97540 Phone: 541-482-3126 Fax: 541-482-0593 |