Laura Jo Hardebeck, PT | |
11782 Sw Barnes Rd Ste 300, Portland, OR 97225-5933 | |
(503) 214-5200 | |
(503) 906-1519 |
Full Name | Laura Jo Hardebeck |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 32 Years |
Location | 11782 Sw Barnes Rd Ste 300, Portland, 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 |
---|---|---|---|
1235106014 | NPI | - | NPPES |
052154 | Medicaid | OR | |
P00022831 | Other | OR | RR MEDICARE PTAN |
0328996 | Other | OR | WA L&I |
P00022831 | Other | OR | RR MEDICARE |
0257960 | Other | WASHINGTON L& I |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2356 (Oregon) | Primary |
225100000X | Physical Therapist | 19501 (California) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Therapeutic Associates Inc | 0042116279 | 297 |
Orthopedic And Fracture Clinic Pc | 1052219953 | 45 |
Therapeutic Associates Inc | 0042116279 | 297 |
Provider Name | Therapeutic Associates Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1972589364 PECOS PAC ID: 0042116279 Enrollment ID: O20040205000432 |
Provider Name | Orthopedic & Fracture Clinic Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1285683656 PECOS PAC ID: 1052219953 Enrollment ID: O20040405000622 |
Provider Name | New Proactive Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1396273199 PECOS PAC ID: 7315218708 Enrollment ID: O20170901001937 |
Mailing Address | Practice Location Address |
---|---|
Laura Jo Hardebeck, PT 16083 Sw Upper Boones Ferry Rd, Tigard, OR 97224-7736 Ph: (800) 219-8835 | Laura Jo Hardebeck, PT 11782 Sw Barnes Rd Ste 300, Portland, OR 97225-5933 Ph: (503) 214-5200 |
Jonathan Rex Gustavson, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3426 Ne 62nd Ave, Portland, OR 97213 Phone: 503-312-3443 | |
Ms. Ruth A Hurst, P.T., G.C.F.P. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7721 Sw 34th Ave, Portland, OR 97219 Phone: 503-452-7767 | |
Ms. Molly Anne Bredenberg, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5050 Ne Hoyt St, Portland, OR 97213 Phone: 503-215-0424 | |
David Genco Jr., DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 319 Ne Russet St, Portland, OR 97211 Phone: 503-289-5571 | |
Jenna Valentine, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 9204 Se Mitchell St, Portland, OR 97266 Phone: 503-777-6746 | |
Ariel Witkin, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1515 Nw 18th Ave Ste 400, Portland, OR 97209 Phone: 503-228-1306 Fax: 503-228-1307 | |
Brian Carper, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 300 N Graham St Ste 430, Portland, OR 97227 Phone: 503-413-1500 |