Emma Logan, DPT | |
1108 E 1st St, Port Angeles, WA 98362-4317 | |
(360) 452-6216 | |
(360) 452-8765 |
Full Name | Emma Logan |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 9 Years |
Location | 1108 E 1st St, Port Angeles, Washington |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548630759 | NPI | - | NPPES |
0346769 | Other | WA | WA L&I |
P01614787 | Other | WA | RR MEDICARE |
1548630759 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 60599449 (Washington) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Adventure Physical Therapy, Ps | 4082791512 | 2 |
Provider Name | Adventure Physical Therapy, Ps |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1992973945 PECOS PAC ID: 4082791512 Enrollment ID: O20080409000123 |
Mailing Address | Practice Location Address |
---|---|
Emma Logan, DPT 16083 Sw Upper Boones Ferry Rd Ste 300, Tigard, OR 97224-7736 Ph: (800) 219-8835 | Emma Logan, DPT 1108 E 1st St, Port Angeles, WA 98362-4317 Ph: (360) 452-6216 |
Darren Thomas Chapman, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 825 E 5th St, Port Angeles, WA 98362 Phone: 360-457-4916 Fax: 360-457-4916 | |
Lisa Hu, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 321 N Chambers St, Port Angeles, WA 98362 Phone: 360-417-7324 | |
Mrs. Jennifer Frymyer, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 939 Caroline St, Port Angeles, WA 98362 Phone: 360-417-7000 Fax: 360-417-7715 | |
Ms. Gail Alene Tate, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1114 Georgiana St, Port Angeles, WA 98362 Phone: 360-452-6216 Fax: 360-452-8765 | |
Dianna L Waller, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 939 Caroline St, Port Angeles, WA 98362 Phone: 360-417-7315 Fax: 360-452-3531 | |
Marsha Ellen Melnick, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1114 Georgiana St, Port Angeles, WA 98362 Phone: 360-452-6216 Fax: 360-452-8765 | |
Eleanore Hafer, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 939 Caroline St, Port Angeles, WA 98362 Phone: 360-417-7315 Fax: 360-452-3531 |