| Moses Lake Sports Physical Therapy, Ps | |
|
515 N Stratford Rd, Moses Lake, WA 98837-1572 | |
| (509) 766-4277 | |
| (509) 766-4280 |
| Full Name | Moses Lake Sports Physical Therapy, Ps |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 515 N Stratford Rd, Moses Lake, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912022658 | NPI | - | NPPES |
| 7062011 | Medicaid | WA | |
| 193527700 | Other | WA | OWCP |
| 51945 | Other | WA | WORK HARDENING |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT00005408 (Washington) | Primary |
| Provider Name | Randy C Bruce |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326149667 PECOS PAC ID: 0244255255 Enrollment ID: I20051010000299 |
| Provider Name | Joshua L Bruce |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942541461 PECOS PAC ID: 6305089129 Enrollment ID: I20130827000357 |
| Provider Name | Adam Mccall Coulson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912671405 PECOS PAC ID: 4587062989 Enrollment ID: I20211015002024 |
| Provider Name | Jacob Francis Bruce |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780220269 PECOS PAC ID: 7113315102 Enrollment ID: I20211025001156 |
| Mailing Address | Practice Location Address |
|---|---|
| Moses Lake Sports Physical Therapy, Ps 515 N Stratford Rd, Moses Lake, WA 98837-1572 Ph: (509) 766-4277 | Moses Lake Sports Physical Therapy, Ps 515 N Stratford Rd, Moses Lake, WA 98837-1572 Ph: (509) 766-4277 |
Mcclayne Thomas Powers, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1342 S Pioneer Way, Moses Lake, WA 98837 Phone: 509-765-9608 Fax: 509-766-0481 | |
Joanne U Thomas, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 840 E Hill Ave, Moses Lake, WA 98837 Phone: 509-765-0216 | |
Loudon Orthosport Pt, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2200 S Maiers Rd, Suite C, Moses Lake, WA 98837 Phone: 509-764-7246 | |
Ryan Carpenter, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 801 E Wheeler Rd, Moses Lake, WA 98837 Phone: 509-793-9605 | |
Rebecca A Fleming, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 840 E Hill Ave, Moses Lake, WA 98837 Phone: 509-765-0216 | |
James A Jenkins, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 840 E Hill Ave, Moses Lake, WA 98837 Phone: 509-765-0216 | |
Jacob L Tacher, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1342 S Pioneer Way, Moses Lake, WA 98837 Phone: 509-765-9608 Fax: 509-766-0481 |