Cody Lommen, PT | |
5955 Shoreview Ln N, Ste. 100, Keizer, OR 97303-3981 | |
(503) 463-4221 | |
(503) 463-4522 |
Full Name | Cody Lommen |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 12 Years |
Location | 5955 Shoreview Ln N, Keizer, 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 |
---|---|---|---|
1134484603 | NPI | - | NPPES |
500647601 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 6845 (Oregon) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Therapeutic Associates Inc | 0042116279 | 297 |
Provider Name | Therapeutic Associates Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1972589364 PECOS PAC ID: 0042116279 Enrollment ID: O20040205000432 |
Mailing Address | Practice Location Address |
---|---|
Cody Lommen, PT 16083 Sw Upper Boones Ferry Rd, Ste. 300, Tigard, OR 97224-7736 Ph: (800) 219-8835 | Cody Lommen, PT 5955 Shoreview Ln N, Ste. 100, Keizer, OR 97303-3981 Ph: (503) 463-4221 |
Jean Jarbath, Physical Therapist Medicare: Medicare Enrolled Practice Location: 5955 Shoreview Ln N Ste 100, Keizer, OR 97303 Phone: 503-463-4221 Fax: 503-463-4522 | |
Ptconnect Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7468 Everwood St Ne, Keizer, OR 97303 Phone: 503-451-5058 | |
Christian Phillips, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4025 Cherry Ave Ne, Keizer, OR 97303 Phone: 503-390-9009 | |
Mrs. Kay Ellen Blachly, PT CHT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5825 Shoreview Ln N, Keizer, OR 97303 Phone: 503-540-6471 Fax: 503-540-6404 | |
John Marshall Frey, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 121 Mcnary Estates Dr N, Suite B, Keizer, OR 97303 Phone: 503-463-4221 Fax: 503-463-4522 | |
Brenden D Thompson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 109 Mcnary Estates Dr N, Keizer, OR 97303 Phone: 503-463-4231 Fax: 503-463-5175 |