| Pt Northwest Of Longview Inc | |
|
1560 3rd Ave, Longview, WA 98632-3229 | |
| (360) 423-9535 | |
| (360) 414-9284 |
| Full Name | Pt Northwest Of Longview Inc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1560 3rd Ave, Longview, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205996717 | NPI | - | NPPES |
| 7072184 | Medicaid | WA | |
| DC3748 | Other | WA | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Molly E Heikkinen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619067758 PECOS PAC ID: 9234038639 Enrollment ID: I20040105000805 |
| Provider Name | Jeanne L Humbert |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679662787 PECOS PAC ID: 7517998941 Enrollment ID: I20050825000735 |
| Provider Name | Darryl T Kent |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063508828 PECOS PAC ID: 5193741544 Enrollment ID: I20070202000308 |
| Provider Name | David P Blanchard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770564486 PECOS PAC ID: 4082798368 Enrollment ID: I20080226000092 |
| Provider Name | Thomas Ablan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336391705 PECOS PAC ID: 7911067400 Enrollment ID: I20081222000623 |
| Provider Name | Daniel L Hughes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407942261 PECOS PAC ID: 4284532409 Enrollment ID: I20120511000337 |
| Provider Name | Paul J Morauske |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033208152 PECOS PAC ID: 5496918302 Enrollment ID: I20120511000361 |
| Provider Name | Athena Larsen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265985469 PECOS PAC ID: 9234415357 Enrollment ID: I20170404000660 |
| Provider Name | Jillian Asmus |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972037216 PECOS PAC ID: 3870837701 Enrollment ID: I20210412001276 |
| Provider Name | Jamie Fechhelm |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881128130 PECOS PAC ID: 9739588914 Enrollment ID: I20210519002703 |
| Provider Name | Elisa Caliendo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568043123 PECOS PAC ID: 7315340619 Enrollment ID: I20210723002699 |
| Provider Name | Daniel Mercado- Tejeda |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073281531 PECOS PAC ID: 1759787971 Enrollment ID: I20210913002956 |
| Provider Name | Ma. Josina Jardio Farrel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770230740 PECOS PAC ID: 2860871191 Enrollment ID: I20220616002080 |
| Provider Name | Jacquelyn Dompier |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982301941 PECOS PAC ID: 8628441672 Enrollment ID: I20230222002479 |
| Provider Name | Benjamin Simmons |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215665153 PECOS PAC ID: 3971988916 Enrollment ID: I20230425001380 |
| Provider Name | Chelsea Marie Dalwampo Salivia |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417663766 PECOS PAC ID: 7416313218 Enrollment ID: I20230522000975 |
| Provider Name | Marc Pagaduan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538515762 PECOS PAC ID: 6608159785 Enrollment ID: I20231009002188 |
| Provider Name | Robert Garrison |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770153124 PECOS PAC ID: 3476956236 Enrollment ID: I20231103002047 |
| Mailing Address | Practice Location Address |
|---|---|
| Pt Northwest Of Longview Inc 1560 3rd Ave, Longview, WA 98632-3229 Ph: (360) 423-9535 | Pt Northwest Of Longview Inc 1560 3rd Ave, Longview, WA 98632-3229 Ph: (360) 423-9535 |
Lynn Marie Mason Chan, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 852 Commerce Ave, Longview, WA 98632 Phone: 360-501-3750 Fax: 360-501-3755 | |
Mr. Paul J Morauske, MS RPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1560 3rd Ave, Longview, WA 98632 Phone: 360-423-9535 Fax: 360-414-9284 | |
Mr. Darryl T Kent, RPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1560 3rd Ave, Longview, WA 98632 Phone: 360-423-9535 Fax: 360-414-9285 | |
Binal Motawar, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 852 Commerce Ave, Longview, WA 98632 Phone: 360-501-3750 Fax: 360-501-3755 | |
Orrin Preheim, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 625 9th Ave Ste 220, Longview, WA 98632 Phone: 360-578-1188 | |
Lori F Falkel, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 852 Commerce Ave, Longview, WA 98632 Phone: 360-501-3750 | |
Lucas Clair Dolan, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 917 7th Ave, Longview, WA 98632 Phone: 360-425-5910 |