Logan Stephen Bannon, | |
1107 Ne 45th St Ste 100, Seattle, WA 98105-4631 | |
(206) 545-7844 | |
Not Available |
Full Name | Logan Stephen Bannon |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 4 Years |
Location | 1107 Ne 45th St Ste 100, Seattle, Washington |
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 |
---|---|---|---|
1003494618 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Tuohy Physical Therapy Llc | 2264577550 | 10 |
Provider Name | Apple Physical Therapy Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1902808470 PECOS PAC ID: 7810892072 Enrollment ID: O20031202000184 |
Provider Name | Tuohy Physical Therapy Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1336471143 PECOS PAC ID: 2264577550 Enrollment ID: O20100311000529 |
Mailing Address | Practice Location Address |
---|---|
Logan Stephen Bannon, 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: () - | Logan Stephen Bannon, 1107 Ne 45th St Ste 100, Seattle, WA 98105-4631 Ph: (206) 545-7844 |
Mrs. Carol Grant, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5311 Phinney Ave North, Norse Home, Seattle, WA 98103 Phone: 206-781-7436 Fax: 206-781-7414 | |
Julia J Visser, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 325 9th Ave, Box 359920, Seattle, WA 98104 Phone: 206-744-1675 Fax: 206-744-1664 | |
Amelia V. Rivera, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 325 9th Ave, Seattle, WA 98104 Phone: 206-774-3300 | |
Lori L. Kirsten, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1200 12th Ave S, Seattle, WA 98144 Phone: 206-326-2400 | |
Nicole Siegel Bulow, PT, DPT, CFMT, ATC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4839 S Brandon St, Seattle, WA 98118 Phone: 415-264-0191 | |
Benjamin Tappen Kern, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1107 Ne 45th St Ste 100, Seattle, WA 98105 Phone: 206-545-7844 Fax: 206-545-7843 | |
Sean Michael Strosnider, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2611 Ne 125th St Ste 140, Seattle, WA 98125 Phone: 206-361-4745 |