Ms Susan Diane Knotts, PT LMT | |
27025 Trask River Road, Tillamook, OR 97141-0433 | |
(503) 842-7305 | |
(503) 842-0447 |
Full Name | Ms Susan Diane Knotts |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 27025 Trask River Road, Tillamook, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750493813 | NPI | - | NPPES |
838547001 | Other | OR | BCBS |
182803 | Medicaid | OR | |
320438201 | Other | OR | PREF CHOICE 65 BCBS |
838546001 | Other | OR | BCBS |
115OR00690 | Other | OR | TRICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 1387 (Oregon) | Primary |
225700000X | Massage Therapist | 1696 (Oregon) | Secondary |
Provider Name | Trask River Therapy Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1659537991 PECOS PAC ID: 8022184795 Enrollment ID: O20080903000374 |
Mailing Address | Practice Location Address |
---|---|
Ms Susan Diane Knotts, PT LMT 27025 Trask River Road, Tillamook, OR 97141-0433 Ph: (503) 842-7305 | Ms Susan Diane Knotts, PT LMT 27025 Trask River Road, Tillamook, OR 97141-0433 Ph: (503) 842-7305 |
Powerback Rehabilitation Physical Therapist Medicare: Medicare Enrolled Practice Location: 3500 12th St, Tillamook, OR 97141 Phone: 971-354-4267 | |
Jonathan Mark Jackson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 3rd St, Tillamook, OR 97141 Phone: 503-842-4444 | |
Trask River Therapy Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 27025 Trask River Rd, Tillamook, OR 97141 Phone: 503-842-7305 Fax: 503-842-0447 | |
Danielle Nightshade, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2101 5th St Ste B, Tillamook, OR 97141 Phone: 503-354-2170 Fax: 541-833-4053 | |
Brandy Jacob, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 3rd St, Tillamook, OR 97141 Phone: 503-842-4444 |