Ms Dana F Van Der Kieft, PT | |
308 N Ivy St, Canby, OR 97013-3704 | |
(503) 263-6786 | |
(503) 263-6451 |
Full Name | Ms Dana F Van Der Kieft |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 20 Years |
Location | 308 N Ivy St, Canby, 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 |
---|---|---|---|
1003871120 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 5156 (Oregon) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Action Potential Llc | 1850605312 | 14 |
Provider Name | Orthopedic And Sports Physical Therapy Services Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1588661235 PECOS PAC ID: 4082507660 Enrollment ID: O20150508000371 |
Provider Name | Action Potential Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1831478692 PECOS PAC ID: 1850605312 Enrollment ID: O20150729007141 |
Mailing Address | Practice Location Address |
---|---|
Ms Dana F Van Der Kieft, PT Po Box 52194, Dept Code 960, Phoenix, AZ 85072-2194 Ph: (503) 489-1781 | Ms Dana F Van Der Kieft, PT 308 N Ivy St, Canby, OR 97013-3704 Ph: (503) 263-6786 |
Ms. Jessica Ellen Karlson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1577 South Ivy St., Canby, OR 97013 Phone: 503-266-5541 Fax: 503-266-5544 | |
Daniel Richard Ryan, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 308 N Ivy St, Canby, OR 97013 Phone: 503-263-6786 Fax: 503-567-0635 | |
Mr. Tyler Marc Bohnet, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 308 N Ivy St, Canby, OR 97013 Phone: 503-263-6786 Fax: 503-263-6451 | |
Christian Ricardo Miranda, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 S Hazel Dell Way Ste 210, Canby, OR 97013 Phone: 503-263-9550 | |
Kristin Jane Zosel, MS PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 308 N Ivy St, Canby, OR 97013 Phone: 503-263-6786 Fax: 503-263-6451 | |
Jennifer Bissig, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 365 S Redwood St, Canby, OR 97013 Phone: 503-651-2020 |