Deer Park Physical Therapy Inc | |
707 S Park St, Deer Park, WA 99006-0948 | |
(509) 276-8811 | |
(866) 629-4801 |
Full Name | Deer Park Physical Therapy Inc |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 707 S Park St, Deer Park, Washington |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306903182 | NPI | - | NPPES |
7000474 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT00002482 (Washington) | Primary |
Provider Name | Rebecca L Pagotelis |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1225015753 PECOS PAC ID: 5496771735 Enrollment ID: I20051017000616 |
Provider Name | Andrew S Roberts |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1104155829 PECOS PAC ID: 7416086921 Enrollment ID: I20110726000496 |
Provider Name | Daniel W Roberts |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1295738813 PECOS PAC ID: 7810080439 Enrollment ID: I20111017000024 |
Provider Name | Mary J Hindman |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1194728717 PECOS PAC ID: 1254503261 Enrollment ID: I20111018000293 |
Provider Name | Dennis A Frazier |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1881003838 PECOS PAC ID: 9032432364 Enrollment ID: I20141217002377 |
Provider Name | Samantha R Iranon |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1104201573 PECOS PAC ID: 4486948155 Enrollment ID: I20160803003191 |
Provider Name | Jared R Descoteaux |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1235591272 PECOS PAC ID: 3274805817 Enrollment ID: I20170817000586 |
Provider Name | Rebecca M Gadbery |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1124411434 PECOS PAC ID: 3072831429 Enrollment ID: I20180709001301 |
Provider Name | Kerry K Suarez |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1336194158 PECOS PAC ID: 2163476276 Enrollment ID: I20200219001640 |
Provider Name | Shannon Mcreynolds |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1275163131 PECOS PAC ID: 8729499835 Enrollment ID: I20201120002300 |
Provider Name | Chiayo Gilbert |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1518690189 PECOS PAC ID: 0547636532 Enrollment ID: I20221017000626 |
Provider Name | Eric Franco-headley |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1740056456 PECOS PAC ID: 5991144990 Enrollment ID: I20240423001755 |
Mailing Address | Practice Location Address |
---|---|
Deer Park Physical Therapy Inc 707 S Park St, Deer Park, WA 99006-0948 Ph: (509) 276-8811 | Deer Park Physical Therapy Inc 707 S Park St, Deer Park, WA 99006-0948 Ph: (509) 276-8811 |
Carey Ann Mack, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 24206 N Donielle Ln, Deer Park, WA 99006 Phone: 509-991-6585 | |
Andrew S Roberts, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 707 S Park St, Deer Park, WA 99006 Phone: 509-276-8811 Fax: 866-629-4801 | |
Samantha Iranon, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 707 S Park St, Deer Park, WA 99006 Phone: 509-276-8811 | |
Mr. Daniel W Roberts, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 707 S Park St, Deer Park, WA 99006 Phone: 509-276-8811 Fax: 866-629-4801 | |
Ms. Kerry Kathleen Suarez, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 707 S. Park St., Deer Park, WA 99006 Phone: 509-276-8811 Fax: 866-629-4801 | |
509 Wellness Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3 N Main St, Deer Park, WA 99006 Phone: 509-638-9808 |