Kevin J Bourlai, PT | |
730 Sw Bonnett Way, Bend, OR 97702-1192 | |
(808) 283-4139 | |
Not Available |
Full Name | Kevin J Bourlai |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 31 Years |
Location | 730 Sw Bonnett Way, Bend, 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 |
---|---|---|---|
1588604649 | NPI | - | NPPES |
500645456 | Medicaid | OR | |
00F0051570 | Other | HI | HMSA BILLING NUMBER |
24488102 | Medicaid | HI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT-1393 (Hawaii) | Secondary |
225100000X | Physical Therapist | 5882 (Oregon) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Results Neck And Back Therapy Llc | 7719282946 | 2 |
Provider Name | Results Neck & Back Therapy Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1740648245 PECOS PAC ID: 7719282946 Enrollment ID: O20160225000401 |
Mailing Address | Practice Location Address |
---|---|
Kevin J Bourlai, PT 20403 Buttermilk, Bend, OR 97702-9490 Ph: (808) 283-4139 | Kevin J Bourlai, PT 730 Sw Bonnett Way, Bend, OR 97702-1192 Ph: (808) 283-4139 |
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 |