Kevin M Pust, PT | |
1630 Beavercreek Rd, Suite A, Oregon City, OR 97045-4156 | |
(503) 489-6250 | |
(503) 489-1650 |
Full Name | Kevin M Pust |
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Gender | Male |
Speciality | Physical Therapist |
Location | 1630 Beavercreek Rd, Oregon City, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831578400 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 61068 (Oregon) | Primary |
Provider Name | New Proactive Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1396273199 PECOS PAC ID: 7315218708 Enrollment ID: O20170803000697 |
Mailing Address | Practice Location Address |
---|---|
Kevin M Pust, PT 1480 Ne Village St, Fairview, OR 97024-3827 Ph: (503) 489-6250 | Kevin M Pust, PT 1630 Beavercreek Rd, Suite A, Oregon City, OR 97045-4156 Ph: (503) 489-6250 |
Charlo Brandon Crumpacker, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1424 Molalla Ave, Oregon City, OR 97045 Phone: 503-744-4916 | |
Benchmark Physical Therapy Of Or, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1424 Molalla Ave, Oregon City, OR 97045 Phone: 123-456-7897 | |
Active Edge Physical Therapy, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 19727 South Highway 213, Oregon City, OR 97045 Phone: 503-387-5449 Fax: 503-342-6846 | |
Brian Bartelli, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1715 Beavercreek Rd, Oregon City, OR 97045 Phone: 503-657-8553 | |
Lori A Perry, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1400 Division St, Oregon City, OR 97045 Phone: 971-206-2486 | |
Angela Hastin, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1511 Division St, Oregon City, OR 97045 Phone: 503-657-6747 | |
John Irwin, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1511 Division St Ste 201a, Oregon City, OR 97045 Phone: 503-657-6747 |