Lance Cooper, PT | |
997 Patton Ln, Ashland, OR 97520-9135 | |
(541) 941-5170 | |
(541) 878-8111 |
Full Name | Lance Cooper |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 997 Patton Ln, Ashland, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467503284 | NPI | - | NPPES |
242029 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 5130 (Oregon) | Primary |
Provider Name | Direct Physical Therapy, Llp |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1205109014 PECOS PAC ID: 5395906291 Enrollment ID: O20120420000335 |
Mailing Address | Practice Location Address |
---|---|
Lance Cooper, PT 108 E Hersey St Ste 1, Ashland, OR 97520-1363 Ph: (541) 482-5525 | Lance Cooper, PT 997 Patton Ln, Ashland, OR 97520-9135 Ph: (541) 941-5170 |
Linda A Muhlenkamp, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 370 E Hersey St, Ashland, OR 97520 Phone: 541-482-6360 Fax: 541-482-6801 | |
Ms. Erica Rademaker, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 289 Sheridan St, Ashland, OR 97520 Phone: 541-482-5633 | |
Alyce Lee Miller, B.S. P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 821 Beach St, Ashland, OR 97520 Phone: 541-292-9997 | |
George Joseph Lescher, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 370 E Hersey St, Ashland, OR 97520 Phone: 541-482-6360 Fax: 541-488-6801 | |
Emily Johnston, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 370 E Hersey St, Ashland, OR 97520 Phone: 541-481-6360 Fax: 541-482-6801 | |
Deborah Lynn Howard, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2205 Ashland St Ste 204, Ashland, OR 97520 Phone: 541-482-0242 Fax: 541-482-0231 | |
Richard Joseph Jones, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 705 Wrights Creek Dr, Ashland, OR 97520 Phone: 541-778-3590 Fax: 541-482-2318 |