Kellie T Wilson, MPT | |
2115 Ne Wyatt Ct Ste 103, Bend, OR 97701-7679 | |
(541) 382-2070 | |
(541) 685-2639 |
Full Name | Kellie T Wilson |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 31 Years |
Location | 2115 Ne Wyatt Ct Ste 103, Bend, Oregon |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306982384 | NPI | - | NPPES |
3074 | Other | OR | STATE OF OREGON LICENSE NUMBER |
207626 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Physical Therapy Works, Inc | 0345289757 | 12 |
Provider Name | Physical Therapy Works, Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1104041185 PECOS PAC ID: 0345289757 Enrollment ID: O20050426000633 |
Mailing Address | Practice Location Address |
---|---|
Kellie T Wilson, MPT 330 Ne Marshall Ave, Bend, OR 97701-4346 Ph: (541) 383-8179 | Kellie T Wilson, MPT 2115 Ne Wyatt Ct Ste 103, Bend, OR 97701-7679 Ph: (541) 382-2070 |
Alpine Physical Therapy & Spine Care Physical Therapist Medicare: Medicare Enrolled Practice Location: 336 Sw Cyber Dr, Suite 107, Bend, OR 97702 Phone: 541-382-5500 Fax: 541-389-5669 | |
Matthew Joseph Kirchoff, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2200 Ne Neff Rd, Suite 202, Bend, OR 97701 Phone: 541-388-7738 Fax: 541-312-0121 | |
Catherine Stone, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2366 Nw Lakeside Pl, Bend, OR 97701 Phone: 541-382-0479 | |
Jaqueline L Campagna, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2500 Ne Neff Rd, Bend, OR 97701 Phone: 541-382-4321 | |
Nikki Peirtsegaele, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2185 Nw Shevlin Park Rd, Bend, OR 97703 Phone: 541-728-0713 | |
Craig Andrew Boswell, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 61615 Athletic Club Drive, Bend, OR 97702 Phone: 541-382-7890 Fax: 541-382-7498 | |
Erik Zamboni, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1558 Sw Nancy Way, Suite 104, Bend, OR 97702 Phone: 541-312-2004 |