Ricardo Gonzalez, PT, DPT | |
1750 Wilco Rd, Stayton, OR 97383-1085 | |
(503) 769-7131 | |
(503) 769-7132 |
Full Name | Ricardo Gonzalez |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 1750 Wilco Rd, Stayton, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669069720 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 63948 (Oregon) | Primary |
Provider Name | Healing Motion Physical Therapy, Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1316919327 PECOS PAC ID: 8426078361 Enrollment ID: O20051206000995 |
Mailing Address | Practice Location Address |
---|---|
Ricardo Gonzalez, PT, DPT 685 36th Ave Ne, Salem, OR 97301-4741 Ph: (503) 371-8860 | Ricardo Gonzalez, PT, DPT 1750 Wilco Rd, Stayton, OR 97383-1085 Ph: (503) 769-7131 |
Joshua Andrew Hevel, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1750 Wilco Rd, Stayton, OR 97383 Phone: 503-769-7131 Fax: 503-769-7132 | |
Ryan John Mackenzie, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1750 Wilco Rd, Stayton, OR 97383 Phone: 503-769-7131 Fax: 503-769-7132 | |
Meghan Dionndra Smith, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1750 Wilco Rd, Stayton, OR 97383 Phone: 503-769-7131 Fax: 503-769-7132 | |
Mrs. Amy J Hilgers, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1620 Partridge Ct, Stayton, OR 97383 Phone: 503-769-4581 | |
Scott Demar Gale, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1750 Wilco Rd, Stayton, OR 97383 Phone: 503-769-7131 Fax: 503-769-7132 | |
Mrs. Carmen L Anglin, DPT, CMP Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 601 N 1st St, Stayton, OR 97383 Phone: 503-769-3123 Fax: 503-769-3176 | |
Everett Plocek, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 601 N 1st Ave, Stayton, OR 97383 Phone: 503-769-3123 Fax: 503-769-3176 |