Micah Daniel Frey, PT | |
1914 Willamette Falls Dr, Suite 230, West Linn, OR 97068-4688 | |
(503) 387-5449 | |
(503) 342-6846 |
Full Name | Micah Daniel Frey |
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Gender | Male |
Speciality | Physical Therapist |
Location | 1914 Willamette Falls Dr, West Linn, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518241348 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 6623 (Oregon) | Primary |
Provider Name | Active Edge Physical Therapy & Sports Medicine P.c. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1730324336 PECOS PAC ID: 7113080714 Enrollment ID: O20090108000131 |
Mailing Address | Practice Location Address |
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Micah Daniel Frey, PT 1914 Willamette Falls Dr, Suite 230, West Linn, OR 97068-4688 Ph: (503) 387-5449 | Micah Daniel Frey, PT 1914 Willamette Falls Dr, Suite 230, West Linn, OR 97068-4688 Ph: (503) 387-5449 |
Suzanne Elizabeth Le, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2020 8th Avenue, Suite D, West Linn, OR 97068 Phone: 503-387-5449 Fax: 503-342-6846 | |
Michael Anthony Crawford, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 22922 W Bluff Dr, West Linn, OR 97068 Phone: 503-803-8630 | |
Active Edge Physical Therapy & Sports Medicine Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2020 8th Ave, Suite D, West Linn, OR 97068 Phone: 503-387-5449 | |
Rachel Wilkinson, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2020 8th Ave Ste D, West Linn, OR 97068 Phone: 503-387-5449 | |
Mrs. Deborah C Thrall, MDT CERT PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1554 Garden St, 103, West Linn, OR 97068 Phone: 503-723-0347 Fax: 503-655-9305 | |
Dr. Megan Pierson, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2020 8th Ave Ste D, West Linn, OR 97068 Phone: 817-475-4787 | |
Jill Harsch, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1554 Garden St, Ste 103, West Linn, OR 97068 Phone: 503-723-5049 |