Bryan Paul Harter, OT | |
820 Cottage St Ne, Salem, OR 97301-2426 | |
(503) 399-1135 | |
(503) 399-7273 |
Full Name | Bryan Paul Harter |
---|---|
Gender | Male |
Speciality | Occupational Therapy |
Experience | 22 Years |
Location | 820 Cottage St Ne, Salem, Oregon |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063672392 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 1066851 (Oregon) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Revolution Sport And Spine Therapy Llc | 6507146412 | 15 |
Provider Name | Revolution Sport & Spine Therapy Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1598215170 PECOS PAC ID: 6507146412 Enrollment ID: O20161212001847 |
Mailing Address | Practice Location Address |
---|---|
Bryan Paul Harter, OT 820 Cottage St Ne, Salem, OR 97301-2426 Ph: (503) 399-1135 | Bryan Paul Harter, OT 820 Cottage St Ne, Salem, OR 97301-2426 Ph: (503) 399-1135 |
Miss Barbara Lynette Wagner, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 820 Cottage St Ne, Salem, OR 97301 Phone: 503-399-0202 | |
Ms. Patricia Ann Nevue, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3270 Liberty Rd S, Salem, OR 97302 Phone: 503-371-0779 Fax: 503-371-0886 | |
Gregory H. Traeger, OTR Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1600 State St, Salem, OR 97301 Phone: 503-540-6478 | |
Emily Wheatley, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3445 Boone Rd Se, Salem, OR 97317 Phone: 503-576-3000 | |
Nicole Groll, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2611 Pringle Rd Se, Salem, OR 97302 Phone: 860-613-9930 | |
Miss Amy Haslett, MS OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 290 Moyer Ln Nw, Salem, OR 97304 Phone: 503-370-8990 Fax: 503-363-4214 |