Kirstin Anne Fosberg, | |
6601 220th St Sw, Ste 1, Mountlake Terrace, WA 98043-2166 | |
(425) 775-7274 | |
(425) 775-0963 |
Full Name | Kirstin Anne Fosberg |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 33 Years |
Location | 6601 220th St Sw, Mountlake Terrace, Washington |
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 |
---|---|---|---|
1558677302 | NPI | - | NPPES |
1558677302 | Medicaid | WA | |
0290893 | Other | WA | DEPT. OF LABOR AND INDUSTRIES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT00005491 (Washington) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Core Physical Therapy Pc | 0840287249 | 8 |
Provider Name | Core Physical Therapy Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1356411011 PECOS PAC ID: 0840287249 Enrollment ID: O20040428000334 |
Mailing Address | Practice Location Address |
---|---|
Kirstin Anne Fosberg, 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: (630) 296-2223 | Kirstin Anne Fosberg, 6601 220th St Sw, Ste 1, Mountlake Terrace, WA 98043-2166 Ph: (425) 775-7274 |
Rayson Takeshi Sorayama, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 24000 Van Ry Blvd Apt 209, Mountlake Terrace, WA 98043 Phone: 866-370-8206 | |
Emily Simmonds, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6601 220th St Sw Ste 1, Mountlake Terrace, WA 98043 Phone: 425-775-7274 | |
Mr. Douglas T Uyeda, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6601 220th St Sw, Suite 1, Mountlake Terrace, WA 98043 Phone: 425-775-7274 | |
Christina Natale, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6912 220th St Sw, Mountlake Terrace, WA 98043 Phone: 425-672-2716 | |
Cole Brown, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6601 220th St Sw Ste 1, Mountlake Terrace, WA 98043 Phone: 425-775-7274 Fax: 425-775-0963 | |
Devin Porter, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6601 220th St Sw Ste 1, Mountlake Terrace, WA 98043 Phone: 425-775-7274 | |
Dr. Kristina Marie Malijan Quick, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6601 220th St Sw, Suite 1, Mountlake Terrace, WA 98043 Phone: 425-775-7274 Fax: 425-775-0963 |