Shanda Ailene Mccormick, PT | |
13470 Sw Farmington Rd, Beaverton, OR 97005-2618 | |
(503) 644-3311 | |
(503) 627-0112 |
Full Name | Shanda Ailene Mccormick |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 21 Years |
Location | 13470 Sw Farmington Rd, Beaverton, Oregon |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932181062 | NPI | - | NPPES |
299951 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 4675 (Oregon) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Therapeutic Associates Inc | 0042116279 | 297 |
Provider Name | Therapeutic Associates Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1972589364 PECOS PAC ID: 0042116279 Enrollment ID: O20040205000432 |
Mailing Address | Practice Location Address |
---|---|
Shanda Ailene Mccormick, PT 11481 Sw Hall Blvd, Ste 201, Portland, OR 97223-8403 Ph: (800) 219-8835 | Shanda Ailene Mccormick, PT 13470 Sw Farmington Rd, Beaverton, OR 97005-2618 Ph: (503) 644-3311 |
Krystyna Lee Lue, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 8354 Sw Nimbus Ave, Beaverton, OR 97008 Phone: 971-219-4899 | |
Brynne Begalke, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 12345 Sw Horizon Blvd Ste 57, Beaverton, OR 97007 Phone: 503-216-8825 | |
Marylou Strong, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4855 Sw Western Ave, Beaverton, OR 97005 Phone: 503-520-4950 Fax: 503-626-5529 | |
Amy Jo C Tanous, D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 13470 Sw Farmington Rd, Beaverton, OR 97005 Phone: 503-644-3311 Fax: 503-627-0112 | |
Meruu Core Choice Rehabilitation Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 1975 Nw 167th Pl # 100-43, Beaverton, OR 97006 Phone: 971-205-2630 | |
Tyler Baca, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3925 Sw 153rd Dr Ste 210, Beaverton, OR 97003 Phone: 971-727-8155 | |
Linda Marie Froemming, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1 Sw Bowerman Dr # Bj1, Beaverton, OR 97005 Phone: 503-671-3962 |