|
| |
|
2909 S 12th St, Tacoma, WA 98405-2540 | |
| (253) 722-9788 | |
| (253) 778-6992 |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 2909 S 12th St, Tacoma, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073025490 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Secondary |
| Provider Name | Connor Lavann Naccarato |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780138263 PECOS PAC ID: 4082901020 Enrollment ID: I20160920000518 |
| Provider Name | Katie Elisabeth Bucholz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205233327 PECOS PAC ID: 9335465012 Enrollment ID: I20181008003564 |
| Provider Name | Conor F O'loughlin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467932871 PECOS PAC ID: 3375897267 Enrollment ID: I20181112002589 |
| Provider Name | Bernadine M Hoang |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730669904 PECOS PAC ID: 0648524132 Enrollment ID: I20190516002670 |
| Provider Name | Whitney Cooper-kahl |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720696032 PECOS PAC ID: 5193143196 Enrollment ID: I20200908001639 |
| Provider Name | Alec C Schroff |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528675477 PECOS PAC ID: 1850704982 Enrollment ID: I20210111002152 |
| Provider Name | Derek Robert Straus |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407462518 PECOS PAC ID: 6002221454 Enrollment ID: I20210216002804 |
| Provider Name | Logan Matthew Hobbs |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881284917 PECOS PAC ID: 4284040601 Enrollment ID: I20210310001287 |
| Provider Name | Jordan Hirae |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578139994 PECOS PAC ID: 8820494479 Enrollment ID: I20210907001239 |
| Provider Name | Meagan Trisko |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033885835 PECOS PAC ID: 6507254240 Enrollment ID: I20211028002049 |
| Provider Name | Claudia A Burns |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174923577 PECOS PAC ID: 0840411682 Enrollment ID: I20220405002504 |
| Provider Name | Abigail R Walter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467931170 PECOS PAC ID: 7517372873 Enrollment ID: I20220516000098 |
| Provider Name | Catherine E Kirkman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346890167 PECOS PAC ID: 2062845134 Enrollment ID: I20221025002071 |
| Mailing Address | Practice Location Address |
|---|---|
2909 S 12th St, Tacoma, WA 98405-2540 Ph: (253) 336-2040 | 2909 S 12th St, Tacoma, WA 98405-2540 Ph: (253) 722-9788 |
Mr. Jesse Ryan Pooler, M.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 621 S Pine St, Tacoma, WA 98405 Phone: 253-835-8091 | |
Ms. Katherine Jean Thurman, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4020 S 56th St, Tacoma, WA 98409 Phone: 253-475-6862 | |
Gabrielle Abrahamsen, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9040 Jackson Ave, Tacoma, WA 98431 Phone: 253-968-2220 | |
Therapeutic Associates Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3518 6th Ave Ste 200a, Tacoma, WA 98406 Phone: 503-443-6156 | |
Isabel Monaghan, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1550 S Union Ave Ste 130, Tacoma, WA 98405 Phone: 253-552-2525 | |
Ms. Hannah L Goldstein, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5006 Center St, Ste N, Tacoma, WA 98409 Phone: 253-476-0449 | |
Marcos Alejandro Castillo, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 11112 Pacific Ave S, Tacoma, WA 98444 Phone: 253-537-1103 |