Joshua Ennis, | |
11977 Se Sunnyside Rd, Clackamas, OR 97015-9312 | |
(503) 486-6944 | |
Not Available |
Full Name | Joshua Ennis |
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Gender | Male |
Speciality | Physical Therapist |
Location | 11977 Se Sunnyside Rd, Clackamas, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1306558937 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Erhardt Physical Therapy And Sports Medicine Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1326110313 PECOS PAC ID: 1153214739 Enrollment ID: O20040206000241 |
Mailing Address | Practice Location Address |
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Joshua Ennis, 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: () - | Joshua Ennis, 11977 Se Sunnyside Rd, Clackamas, OR 97015-9312 Ph: (503) 486-6944 |
Richard Bandy, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11977 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-486-6944 | |
Kelly Elizabeth Newman, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10100 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-813-2000 | |
Ashlee Baltich, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9290 Se Sunnybrook Blvd Ste 230, Clackamas, OR 97015 Phone: 503-215-2180 | |
Abby Duval Grabowski, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9290 Se Sunnybrook Blvd Ste 120, Clackamas, OR 97015 Phone: 502-215-2110 | |
Dr. Alain Denis Machtelinckx, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-571-6614 | |
Sonja Creel, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9290 Se Sunnybrook Blvd Ste 230, Clackamas, OR 97015 Phone: 503-215-2085 Fax: 503-215-2185 | |
Miranda Physical Therapy P.c. Physical Therapist Medicare: Medicare Enrolled Practice Location: 10151 Se Sunnyside Rd Ste 310, Clackamas, OR 97015 Phone: 503-496-1058 Fax: 888-675-5282 |