Jonathan Thomas Small, DPT | |
2645 North 17th St, Coos Bay, OR 97420 | |
(541) 266-3658 | |
Not Available |
Full Name | Jonathan Thomas Small |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 11 Years |
Location | 2645 North 17th St, Coos Bay, Oregon |
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 |
---|---|---|---|
1639518053 | NPI | - | NPPES |
T60243 | Other | OR | TEMP LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | T 60243 (Oregon) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Jonathan T Small Physical Therapy Pllc | 9436428166 | 2 |
Provider Name | Jonathan T Small Physical Therapy Pllc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1861928020 PECOS PAC ID: 9436428166 Enrollment ID: O20170711003458 |
Mailing Address | Practice Location Address |
---|---|
Jonathan Thomas Small, DPT 1369 California Ave, Coos Bay, OR 97420-1009 Ph: (315) 794-8530 | Jonathan Thomas Small, DPT 2645 North 17th St, Coos Bay, OR 97420 Ph: (541) 266-3658 |
John Charles Delarosa, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2645 N 17th St, Coos Bay, OR 97420 Phone: 541-266-3658 | |
Horace J Ferrante Jr., PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2645 N 17th St, Coos Bay, OR 97420 Phone: 541-266-3658 Fax: 541-267-5395 | |
Michael Wilkins Jr., DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2645 N 17th St, Coos Bay, OR 97420 Phone: 541-266-3658 Fax: 541-267-5395 | |
Lawrence R Cheal, PHYSICAL THERAPIST Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1900 Woodland Dr, Coos Bay, OR 97420 Phone: 541-267-5151 Fax: 541-266-4526 | |
Mrs. Mirian W Groenendaal, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1957 Thompson Rd., Coos Bay, OR 97420 Phone: 541-266-7050 Fax: 541-266-0180 | |
Dr. Carmen Christine Ramirez, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1900 Woodland Dr, Coos Bay, OR 97420 Phone: 541-267-5151 Fax: 541-266-4526 | |
Mr. Thomas S Zomerschoe, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1957 Thompson Rd, Coos Bay, OR 97420 Phone: 541-266-7050 Fax: 541-266-0180 |