Mr Michael Tom Izar Rodrigo, | |
2494 Royalann Ln, Eugene, OR 97405-9237 | |
(541) 905-7016 | |
Not Available |
Full Name | Mr Michael Tom Izar Rodrigo |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 2494 Royalann Ln, Eugene, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477826717 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 6764 (Oregon) | Secondary |
225100000X | Physical Therapist | PT 27174 (Florida) | Primary |
Provider Name | Five Star Rehabilitation And Wellness Services Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1619624269 PECOS PAC ID: 0143323535 Enrollment ID: O20220703000088 |
Mailing Address | Practice Location Address |
---|---|
Mr Michael Tom Izar Rodrigo, 2494 Royalann Ln, Eugene, OR 97405-9237 Ph: (541) 905-7016 | Mr Michael Tom Izar Rodrigo, 2494 Royalann Ln, Eugene, OR 97405-9237 Ph: (541) 905-7016 |
Joseph Adam Bekaert, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 1835 Pearl St, Eugene, OR 97401 Phone: 541-505-8180 | |
Jeff A Giulietti, MPT, ATC Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 54 Oakway Ctr, Eugene, OR 97401 Phone: 541-687-7005 Fax: 541-687-7006 | |
Mr. Richard C Huffman, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 911 Country Club #150, Oregon Spine Physical Therapy, Eugene, OR 97405 Phone: 541-683-5139 Fax: 541-683-5783 | |
Katie L Kowalski, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 55 Coburg Rd, Eugene, OR 97401 Phone: 541-485-8111 Fax: 541-868-0883 | |
Ms. Jennifer Dunn, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 488 E 11th Ave Ste 150a, Eugene, OR 97401 Phone: 541-505-8180 Fax: 541-505-7134 | |
Robert Aaron Wayner, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 920 Country Club Rd, Suite 210b, Eugene, OR 97401 Phone: 541-242-4172 Fax: 541-242-4171 | |
Mrs. Robin Anne Detmer, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 805 W 38th Ave, Eugene, OR 97405 Phone: 541-654-7206 |