Emily Ann Van Gorp, PT | |
751 Old Richardson Hwy, # 202, Fairbanks, AK 99701 | |
(907) 455-4401 | |
Not Available |
Full Name | Emily Ann Van Gorp |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 751 Old Richardson Hwy, Fairbanks, Alaska |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194800102 | NPI | - | NPPES |
1790 | Other | AK | PT LICENCE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 1790 (Alaska) | Primary |
Provider Name | Coby Jones Dpt Pllc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1699331561 PECOS PAC ID: 3870822257 Enrollment ID: O20190910002896 |
Mailing Address | Practice Location Address |
---|---|
Emily Ann Van Gorp, PT File 50469, Los Angeles, CA 90074-0469 Ph: (530) 778-0200 | Emily Ann Van Gorp, PT 751 Old Richardson Hwy, # 202, Fairbanks, AK 99701 Ph: (907) 455-4401 |
Tara J Scogin, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1275 Sadler Way, Suite 201, Fairbanks, AK 99701 Phone: 907-374-0992 | |
Mrs. Johnna Renee Underwood, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 459 Farmers Loop Rd, Fairbanks, AK 99712 Phone: 907-550-0587 | |
Susan Grace Mcdiarmid, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 751 Old Richardson Hwy, #202, Fairbanks, AK 99701 Phone: 907-455-4401 Fax: 907-455-4402 | |
Ms. Mary Jones, M.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2166 Yellow Leaf Ct, Fairbanks, AK 99709 Phone: 907-455-6875 | |
Emily Roberts Rogers, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1275 Sadler Way, Ste 201, Fairbanks, AK 99701 Phone: 907-374-0992 Fax: 907-374-0986 | |
Elizabeth Lee Myers, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 418 3rd St Ste 1b, Fairbanks, AK 99701 Phone: 907-374-0225 Fax: 907-308-4025 | |
Annette Freymueller, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1258 Viewpointe Dr, Fairbanks, AK 99709 Phone: 907-479-3550 |