Ishani Shah, | |
377 Nw Jasper St, Dallas, OR 97338-1279 | |
(503) 623-5581 | |
Not Available |
Full Name | Ishani Shah |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 377 Nw Jasper St, Dallas, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922687912 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 62701 (Oregon) | Primary |
Provider Name | Pleasanton Physical Therapy Services Inc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1336295138 PECOS PAC ID: 4284690694 Enrollment ID: O20041207001260 |
Mailing Address | Practice Location Address |
---|---|
Ishani Shah, 25764 Sw Canyon Creek Rd Apt B201, Wilsonville, OR 97070-5622 Ph: (909) 809-1504 | Ishani Shah, 377 Nw Jasper St, Dallas, OR 97338-1279 Ph: (503) 623-5581 |
Timothy Ryan Jamar, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 377 Nw Jasper St, Dallas, OR 97338 Phone: 503-623-5581 | |
Rolf Jett Vognild, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17550 Gardner Rd, Dallas, OR 97338 Phone: 503-623-4084 | |
Melinda Walker, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 322 Main St # 326, Dallas, OR 97338 Phone: 503-837-1316 | |
Troy J Hattan, PHYSICAL THERAPIST Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 525 Se Washington St, Dallas, OR 97338 Phone: 503-623-7305 Fax: 503-623-7325 | |
Braedon Clay Miller, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 641 Se Miller Ave, Dallas, OR 97338 Phone: 503-623-7305 | |
Mr. Alan M Noble, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 210 W Ellendale Ave Ste 100, Dallas, OR 97338 Phone: 503-623-2433 Fax: 503-623-2196 | |
Dr. Lea Camille Domingo Keenantasker, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 377 Nw Jasper St, Dallas, OR 97338 Phone: 503-623-5581 |