Stephen Harris, DPT | |
14028 Se Petrovitsky Rd, Renton, WA 98058 | |
(425) 272-0252 | |
(425) 272-0291 |
Full Name | Stephen Harris |
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Gender | Male |
Speciality | Physical Therapist |
Location | 14028 Se Petrovitsky Rd, Renton, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922523364 | NPI | - | NPPES |
110126877A | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 22963 (Massachusetts) | Secondary |
225100000X | Physical Therapist | PT60938305 (Washington) | Primary |
Provider Name | Bay State Physical Therapy Of Randolph Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1164474334 PECOS PAC ID: 6305744251 Enrollment ID: O20191112001187 |
Mailing Address | Practice Location Address |
---|---|
Stephen Harris, DPT 16083 Sw Upper Boones Ferry Rd Ste 300, Tigard, OR 97224-7736 Ph: (503) 443-6156 | Stephen Harris, DPT 14028 Se Petrovitsky Rd, Renton, WA 98058 Ph: (425) 272-0252 |
Irene A Bryant, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 400 S 43rd St, Renton, WA 98055 Phone: 425-251-5165 Fax: 425-656-4028 | |
Anne B Villari, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 400 S 43rd St, Renton, WA 98055 Phone: 425-251-5165 | |
Jessica Hill, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 400 S 43rd St, Box 50010 Nwp 002, Renton, WA 98055 Phone: 425-251-5165 Fax: 425-656-4028 | |
Leanne Cole, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17800 Talbot Rd S, Renton, WA 98055 Phone: 425-455-2630 | |
Erin Heald, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3900 E Valley Rd Ste 103, Renton, WA 98057 Phone: 425-207-3505 | |
Amphone Rasasombath, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 300 Sw 7th St, Renton, WA 98057 Phone: 425-204-2365 | |
Sarah Deanne Friesen, Physical Therapist Medicare: Medicare Enrolled Practice Location: 17800 Talbot Rd S Ste D, Renton, WA 98055 Phone: 425-277-9096 |