Sierra Mckenzie Montgomery, PT | |
51600 Huntington Rd Ste 103, La Pine, OR 97739-8887 | |
(541) 536-7443 | |
Not Available |
Full Name | Sierra Mckenzie Montgomery |
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Gender | Female |
Speciality | Physical Therapist |
Location | 51600 Huntington Rd Ste 103, La Pine, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437933215 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 65078 (Oregon) | Primary |
Provider Name | Rebound Physical Therapy Limited Partnership |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1164888764 PECOS PAC ID: 4880990753 Enrollment ID: O20160303000563 |
Mailing Address | Practice Location Address |
---|---|
Sierra Mckenzie Montgomery, PT 52493 River Pine Rd, La Pine, OR 97739-8906 Ph: (971) 241-5076 | Sierra Mckenzie Montgomery, PT 51600 Huntington Rd Ste 103, La Pine, OR 97739-8887 Ph: (541) 536-7443 |
Jean Marie Mchenry, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 51681 Huntington Rd, La Pine, OR 97739 Phone: 541-536-6122 Fax: 541-536-6123 | |
Mr. Gerald Nash, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 51681 Huntington Rd, La Pine, OR 97739 Phone: 541-536-6122 Fax: 541-536-6123 | |
Mr. George Kohler, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 16487 Bluewood Pl, La Pine, OR 97739 Phone: 541-536-9779 Fax: 541-536-9372 | |
Mrs. Justina Rose Becker, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 51681 Huntington Rd, La Pine, OR 97739 Phone: 541-536-6122 Fax: 541-536-6123 | |
Hollie Michelle Brown, Physical Therapist Medicare: Medicare Enrolled Practice Location: 51681 Huntington Rd # 9626, La Pine, OR 97739 Phone: 541-536-6122 | |
Tai - La Pine Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 51681 Huntington Rd, La Pine, OR 97739 Phone: 541-536-6122 Fax: 541-536-6123 |