Gage W Park, DPT | |
165 Steve Barry Blvd, Pryor, OK 74361-6841 | |
(918) 824-4500 | |
(918) 824-1977 |
Full Name | Gage W Park |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 4 Years |
Location | 165 Steve Barry Blvd, Pryor, Oklahoma |
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 |
---|---|---|---|
1073138434 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 5808 (Oklahoma) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mountain Valley Therapy, Inc | 9537053079 | 14 |
Provider Name | Mountain Valley Therapy, Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1659353035 PECOS PAC ID: 9537053079 Enrollment ID: O20040213000395 |
Mailing Address | Practice Location Address |
---|---|
Gage W Park, DPT 8205 Presidents Dr, Hummelstown, PA 17036-8621 Ph: (717) 839-2188 | Gage W Park, DPT 165 Steve Barry Blvd, Pryor, OK 74361-6841 Ph: (918) 824-4500 |
Meghan Teitz, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 165 Steve Barry Blvd, Pryor, OK 74361 Phone: 918-824-4500 | |
Jason P Hartog, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1486 S Elliott St, Pryor, OK 74361 Phone: 918-825-2333 Fax: 918-825-6266 | |
Angela Marie Cohen, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1486 S Elliott St, Pryor, OK 74361 Phone: 918-825-2333 Fax: 918-825-6266 | |
Drayer Physical Therapy Oklahoma Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 165 Steve Barry Blvd, Pryor, OK 74361 Phone: 918-824-4500 Fax: 918-824-1977 | |
Lisa Altena, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 165 Steve Barry Blvd, Pryor, OK 74361 Phone: 918-824-4500 Fax: 918-824-1977 | |
Mrs. Wendi Schaffitzel, PT, CHT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1486 S Elliott St, Pryor, OK 74361 Phone: 918-825-2333 |