Northwest Physical Therapy Sports Rehabilitation Center, Inc., P.s. | |
110 N Laventure Rd, Ste A, Mount Vernon, WA 98273-3901 | |
(360) 428-2700 | |
(360) 428-2701 |
Full Name | Northwest Physical Therapy Sports Rehabilitation Center, Inc., P.s. |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 110 N Laventure Rd, Mount Vernon, Washington |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174523054 | NPI | - | NPPES |
7155104 | Medicaid | WA | |
CF8029 | Other | WA | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 600377134 (Washington) | Primary |
Provider Name | Daniel J Day |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1295735447 PECOS PAC ID: 3678561404 Enrollment ID: I20040503000209 |
Provider Name | Kimberly M Mcbride |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1023018116 PECOS PAC ID: 2466412549 Enrollment ID: I20041013000592 |
Provider Name | Tawny L Bridge Pope |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1639279599 PECOS PAC ID: 5496802555 Enrollment ID: I20090408000090 |
Provider Name | Megan C Douglas |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1548348147 PECOS PAC ID: 1355440850 Enrollment ID: I20100603000890 |
Provider Name | Patrick S Mcbride |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1417957044 PECOS PAC ID: 3072792910 Enrollment ID: I20110125000700 |
Provider Name | Ashley L Shaner |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1013210111 PECOS PAC ID: 9931376852 Enrollment ID: I20120118000162 |
Provider Name | Stacy J Asarian |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1841637543 PECOS PAC ID: 9537397716 Enrollment ID: I20140115000729 |
Provider Name | Marcella J Petricca |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1578014478 PECOS PAC ID: 3072891753 Enrollment ID: I20161101000269 |
Provider Name | Aaron J Van Wieringen |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1407208044 PECOS PAC ID: 7911286141 Enrollment ID: I20161110002584 |
Provider Name | Brielle E Kadrmas |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1790207884 PECOS PAC ID: 2264704402 Enrollment ID: I20170822003569 |
Provider Name | Sean R Dodson |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1689104069 PECOS PAC ID: 6406129493 Enrollment ID: I20170913003976 |
Provider Name | Nicholas J Chamley |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1114345527 PECOS PAC ID: 6800029323 Enrollment ID: I20180808001627 |
Provider Name | Davis J Hackman |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1477018042 PECOS PAC ID: 5092058735 Enrollment ID: I20190520002496 |
Provider Name | Megan Thomas |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1447281472 PECOS PAC ID: 4486089356 Enrollment ID: I20200123000083 |
Provider Name | Laura Elizabeth Rich |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1376135103 PECOS PAC ID: 0143629261 Enrollment ID: I20210521002381 |
Provider Name | Melody Ann Rogers |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1417574492 PECOS PAC ID: 4880005073 Enrollment ID: I20211015002588 |
Mailing Address | Practice Location Address |
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Northwest Physical Therapy Sports Rehabilitation Center, Inc., P.s. 110 N Laventure Rd, Ste A, Mount Vernon, WA 98273-3901 Ph: (360) 428-2700 | Northwest Physical Therapy Sports Rehabilitation Center, Inc., P.s. 110 N Laventure Rd, Ste A, Mount Vernon, WA 98273-3901 Ph: (360) 428-2700 |
Keelymae J Regan, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1500 Continental Pl, Mount Vernon, WA 98273 Phone: 360-424-7041 Fax: 360-424-2456 | |
Dr. Dana Sturtz, DPT, GCS Physical Therapist Medicare: Medicare Enrolled Practice Location: 1415 E Kincaid St, Mount Vernon, WA 98274 Phone: 360-814-2184 | |
Urban Fitness And Health Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 525 E College Way, Mount Vernon, WA 98273 Phone: 206-999-9310 | |
Kimberly Kae Miller, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1401 S Laventure Rd, Mount Vernon, WA 98274 Phone: 360-424-2400 Fax: 360-424-2418 | |
Sarah Louise Johnston, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1415 E Kincaid St, Mount Vernon, WA 98274 Phone: 360-814-2699 | |
Jessica Ann Younger, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1415 E Kincaid St, Childrens Therapy Department, Mount Vernon, WA 98274 Phone: 360-814-2696 Fax: 360-814-5467 | |
Mr. Brett Robert Nelson, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1401 S Laventure Rd, Mount Vernon, WA 98274 Phone: 360-424-2400 Fax: 360-424-2418 |