Coastal Physical Therapy Llc | |
580 5th St, Suite 600, Brookings, OR 97415-8329 | |
(541) 469-7314 | |
(541) 469-3669 |
Full Name | Coastal Physical Therapy Llc |
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Type | Facility |
Speciality | Physical Therapist |
Location | 580 5th St, Brookings, Oregon |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043375520 | NPI | - | NPPES |
R136111 | Other | OR | MEDICARE PTIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 3984 (Oregon) | Primary |
Provider Name | Bradley G Kelly |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1508973728 PECOS PAC ID: 8729089354 Enrollment ID: I20070125000105 |
Provider Name | Susan E Brickley |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1366596470 PECOS PAC ID: 6709986029 Enrollment ID: I20070716000052 |
Mailing Address | Practice Location Address |
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Coastal Physical Therapy Llc 580 5th St, Suite 600, Brookings, OR 97415-8329 Ph: (541) 469-7314 | Coastal Physical Therapy Llc 580 5th St, Suite 600, Brookings, OR 97415-8329 Ph: (541) 469-7314 |
Mr. Michael Worthey, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 614 Spruce St, Brookings, OR 97415 Phone: 541-469-1062 Fax: 541-469-8477 | |
Bryan Gettys, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1 Park Ave, Brookings, OR 97415 Phone: 888-366-0209 | |
Devin Leslie, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 565 5th St, Brookings, OR 97415 Phone: 541-469-1062 Fax: 541-469-8477 | |
Susan Elaine Brickley, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 580 5th St, Suite 600, Brookings, OR 97415 Phone: 541-469-7314 Fax: 541-469-3669 | |
Mrs. Cindy A Zima, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Park Ave, Brookings, OR 97415 Phone: 541-469-3111 | |
Mrs. Tara Simonson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 614 Spruce St, Brookings, OR 97415 Phone: 541-469-1062 Fax: 541-469-8477 |