| Tyler Austin Zitka, PT, DPT | |
|
51600 Huntington Rd Ste 103, La Pine, OR 97739-8887 | |
| (541) 536-7443 | |
| Not Available |
| Full Name | Tyler Austin Zitka |
|---|---|
| Gender | Male |
| 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 |
|---|---|---|---|
| 1891504254 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 65551 (Oregon) | Primary |
| Provider Name | Rebound Physical Therapy Limited Partnership |
|---|---|
| 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 |
|---|---|
| Tyler Austin Zitka, PT, DPT 954 Sw Emkay Dr Apt 445, Bend, OR 97702-0809 Ph: (623) 271-2907 | Tyler Austin Zitka, PT, DPT 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 | |
Sierra Mckenzie Montgomery, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 51600 Huntington Rd Ste 103, La Pine, OR 97739 Phone: 541-536-7443 | |
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 | |
Raegan Kirsop, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 51681 Huntington Rd, La Pine, OR 97739 Phone: 541-536-6123 |