Colby Jack Taylor, DPT | |
1900 Ne 162nd Ave Ste B101, Vancouver, WA 98684-3019 | |
(503) 686-4110 | |
Not Available |
Full Name | Colby Jack Taylor |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 1900 Ne 162nd Ave Ste B101, Vancouver, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326786963 | NPI | - | NPPES |
PT.61271305 | Other | WA | WASHINGTON STATE HEALTH DEPARTMENT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT.61271305 (Washington) | Primary |
Provider Name | New Proactive Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1396273199 PECOS PAC ID: 7315218708 Enrollment ID: O20170803000697 |
Mailing Address | Practice Location Address |
---|---|
Colby Jack Taylor, DPT 3309 N Mississippi Ave Apt 439, Portland, OR 97227-2067 Ph: (503) 936-4450 | Colby Jack Taylor, DPT 1900 Ne 162nd Ave Ste B101, Vancouver, WA 98684-3019 Ph: (503) 686-4110 |
Mr. Chi Yol Pak, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 1510 Se 97th Ave, Vancouver, WA 98664 Phone: 360-936-1557 | |
Brenda Zink, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 916 Ne 112th Ave Ste 105, Vancouver, WA 98684 Phone: 360-567-2002 | |
Bryce P Schuster, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 805 Broadway St, Vancouver, WA 98660 Phone: 360-823-0138 Fax: 360-823-0141 | |
Amanda L Swearingen, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: Balanced Physical Therapy, 900 Ne 139th St Ste 102, Vancouver, WA 98685 Phone: 360-575-3611 Fax: 360-573-3880 | |
Brian Schreck, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 201 Ne Park Plaza Dr, Suite 246, Vancouver, WA 98684 Phone: 360-696-1070 Fax: 360-737-0200 | |
Mr. Daniel F. L. Bisner I, Physical Therapist Medicare: Medicare Enrolled Practice Location: 900 Ne 139th St Ste 102, Vancouver, WA 98685 Phone: 360-573-3611 Fax: 360-573-3880 | |
Jacob Christopher Burggraff, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7409 Ne Hazel Dell Ave Ste 112, Vancouver, WA 98665 Phone: 360-597-4048 |