Greggory Mortensen, DPT | |
7701 Ne Highway 99 Ste 109, Vancouver, WA 98665-8871 | |
(360) 605-0416 | |
(360) 605-0417 |
Full Name | Greggory Mortensen |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 9 Years |
Location | 7701 Ne Highway 99 Ste 109, Vancouver, Washington |
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 |
---|---|---|---|
1376927541 | NPI | - | NPPES |
G9012098 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | T61158 (Oregon) | Secondary |
225100000X | Physical Therapist | 60735053 (Washington) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kaiser Foundation Health Plan Of The Northwest | 5799688230 | 1484 |
Provider Name | Kaiser Foundation Health Plan Of The Northwest |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040220000099 |
Provider Name | Elevate Physical Therapy |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1245887272 PECOS PAC ID: 3577984368 Enrollment ID: O20200603001117 |
Mailing Address | Practice Location Address |
---|---|
Greggory Mortensen, DPT 7701 Ne Highway 99 Ste 109, Vancouver, WA 98665-8871 Ph: (360) 605-0416 | Greggory Mortensen, DPT 7701 Ne Highway 99 Ste 109, Vancouver, WA 98665-8871 Ph: (360) 605-0416 |
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 |