Mini Gupta, | |
30459 Sw Rogue Ln Unit 5212, Wilsonville, OR 97070-6686 | |
(425) 324-7129 | |
Not Available |
Full Name | Mini Gupta |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 15 Years |
Location | 30459 Sw Rogue Ln Unit 5212, Wilsonville, 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 |
---|---|---|---|
1215443999 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 62558 (Oregon) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Premere Rehab Llc | 2567434764 | 66 |
Aegis Group Practice Llc | 5193036432 | 284 |
Provider Name | Premere Rehab Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1245278639 PECOS PAC ID: 2567434764 Enrollment ID: O20110105000915 |
Provider Name | Aegis Group Practice Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1902505001 PECOS PAC ID: 5193036432 Enrollment ID: O20230607003040 |
Mailing Address | Practice Location Address |
---|---|
Mini Gupta, 20015 Sw 63rd Ter, Tualatin, OR 97062-8949 Ph: (503) 960-2060 | Mini Gupta, 30459 Sw Rogue Ln Unit 5212, Wilsonville, OR 97070-6686 Ph: (425) 324-7129 |
Mrs. Jaime Leigh Dutra Doppee, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 25030 Sw Parkway Ave, 101, Wilsonville, OR 97070 Phone: 503-582-1073 Fax: 503-582-1093 | |
Marcia E. Powell, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 25117 Sw Parkway Ave, Suite D, Wilsonville, OR 97070 Phone: 503-570-3665 | |
Jessica Kele Kathleen Murdin, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 25117 Sw Parkway Ave Ste D, Wilsonville, OR 97070 Phone: 503-570-3665 | |
Kristine J Spencer, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8890 Sw Holly Ln, Suite B, Wilsonville, OR 97070 Phone: 503-682-7565 Fax: 503-682-8750 | |
Mr. Ian Andrew Mclean, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 30900 Sw Parkway Ave, Wilsonville, OR 97070 Phone: 503-682-2840 Fax: 503-682-2869 | |
Mrs. Anne Eileen Miller, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 25117 Sw Parkway Ave Ste D, Wilsonville, OR 97070 Phone: 503-570-3665 | |
Jennifer Lynne Rees-gross, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 25117 Sw Parkway Ave Ste D, Wilsonville, OR 97070 Phone: 402-871-3843 |