Paul Wilson, PT | |
2005 Elm St Ste 200, Forest Grove, OR 97116-2781 | |
(503) 357-9810 | |
(503) 357-9819 |
Full Name | Paul Wilson |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 8 Years |
Location | 2005 Elm St Ste 200, Forest Grove, Oregon |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578091344 | NPI | - | NPPES |
500725396 | Medicaid | OR | |
R195362 | Other | OR | MEDICARE |
R194490 | Other | OR | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 62298 (Oregon) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Prompt Physical Therapy Inc. | 4981675790 | 5 |
Provider Name | Prompt Physical Therapy Inc. |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1245317783 PECOS PAC ID: 4981675790 Enrollment ID: O20040804001478 |
Mailing Address | Practice Location Address |
---|---|
Paul Wilson, PT 16083 Sw Upper Boones Ferry Rd Ste 300, Tigard, OR 97224-7736 Ph: (800) 219-8835 | Paul Wilson, PT 2005 Elm St Ste 200, Forest Grove, OR 97116-2781 Ph: (503) 357-9810 |
Alexandra Kristine Thomas, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3300 19th Ave, Forest Grove, OR 97116 Phone: 503-357-7119 | |
Cheryl Lee Fletcher, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1006 Watercrest Rd, Forest Grove, OR 97116 Phone: 971-732-9436 | |
Mrs. Diana Kay Lubarsky, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2333 Pacific Avenue, Tuality Healthcare Forest Grove Shopping Center, Forest Grove, OR 97116 Phone: 503-359-6145 Fax: 503-359-6919 | |
Mr. James D Surface, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1909 Mountain View Ln #300, Forest Grove, OR 97116 Phone: 503-359-3979 Fax: 503-648-2441 | |
Julie Bernice Lum, PT, DPT, OCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2333 Pacific Ave, Forest Grove, OR 97116 Phone: 503-359-6145 | |
Mr. Aaron Michael Frye, M.S.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4150 Pacific Ave, Ste 100, Forest Grove, OR 97116 Phone: 503-357-1706 Fax: 503-270-5023 | |
Alison Modafferi, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2005 Elm St Ste 200, Forest Grove, OR 97116 Phone: 503-357-9810 Fax: 503-357-9819 |