Bridgetown Physical Therapy And Training Studio, Pc | |
1500 Sw 1st Ave Ste 150, Portland, OR 97201-5900 | |
(503) 222-1955 | |
(503) 222-1485 |
Full Name | Bridgetown Physical Therapy And Training Studio, Pc |
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Type | Facility |
Speciality | Physical Therapist |
Location | 1500 Sw 1st Ave Ste 150, Portland, Oregon |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194907873 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 4996 (Oregon) | Primary |
Provider Name | Mark T Hatfield |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1326022187 PECOS PAC ID: 9234161191 Enrollment ID: I20050831000642 |
Provider Name | Joshua Kernen |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1881739845 PECOS PAC ID: 1254365596 Enrollment ID: I20050926000492 |
Provider Name | Darla K Phillips |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1588854020 PECOS PAC ID: 4486748399 Enrollment ID: I20100223000895 |
Provider Name | Anna J Wetzel |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1649725441 PECOS PAC ID: 6608154877 Enrollment ID: I20161024001702 |
Provider Name | Kinzie Marie Munar |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1639528185 PECOS PAC ID: 9133408461 Enrollment ID: I20161109001771 |
Provider Name | Gwendolyn S Smith |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1396252342 PECOS PAC ID: 8022379106 Enrollment ID: I20180306002380 |
Provider Name | Mariah Miller |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1578130431 PECOS PAC ID: 7012319098 Enrollment ID: I20210713003475 |
Provider Name | Lindsay R Springer |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1669085148 PECOS PAC ID: 4880099464 Enrollment ID: I20210819001744 |
Provider Name | Erik Kaufman |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1063177046 PECOS PAC ID: 3870983984 Enrollment ID: I20211203002474 |
Provider Name | Davis Ngo |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1184237331 PECOS PAC ID: 6002235017 Enrollment ID: I20220118001317 |
Provider Name | Dustin Nading |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1366171118 PECOS PAC ID: 6800270521 Enrollment ID: I20220830002430 |
Provider Name | Annika Hayman |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1790332229 PECOS PAC ID: 1951778471 Enrollment ID: I20221111002170 |
Provider Name | Gillian A Beran-maryott |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1932707635 PECOS PAC ID: 6507272671 Enrollment ID: I20230815003940 |
Provider Name | Brady Hutchinson |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1598455313 PECOS PAC ID: 6305204314 Enrollment ID: I20240613001402 |
Mailing Address | Practice Location Address |
---|---|
Bridgetown Physical Therapy And Training Studio, Pc 1500 Sw 1st Ave Ste 150, Portland, OR 97201-5900 Ph: (503) 222-1955 | Bridgetown Physical Therapy And Training Studio, Pc 1500 Sw 1st Ave Ste 150, Portland, OR 97201-5900 Ph: (503) 222-1955 |
Jonathan Rex Gustavson, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3426 Ne 62nd Ave, Portland, OR 97213 Phone: 503-312-3443 | |
Ms. Ruth A Hurst, P.T., G.C.F.P. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7721 Sw 34th Ave, Portland, OR 97219 Phone: 503-452-7767 | |
Ms. Molly Anne Bredenberg, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5050 Ne Hoyt St, Portland, OR 97213 Phone: 503-215-0424 | |
David Genco Jr., DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 319 Ne Russet St, Portland, OR 97211 Phone: 503-289-5571 | |
Jenna Valentine, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 9204 Se Mitchell St, Portland, OR 97266 Phone: 503-777-6746 | |
Ariel Witkin, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1515 Nw 18th Ave Ste 400, Portland, OR 97209 Phone: 503-228-1306 Fax: 503-228-1307 | |
Brian Carper, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 300 N Graham St Ste 430, Portland, OR 97227 Phone: 503-413-1500 |