| Walton Physical Therapy & Sports Medicine Inc | |
|
17400 Sw Upper Boones Ferry Rd., Suite 280, Durham, OR 97224-7216 | |
| (503) 639-2118 | |
| Not Available |
| Full Name | Walton Physical Therapy & Sports Medicine Inc |
|---|---|
| Type | Facility |
| Speciality | Clinic/center - Rehabilitation |
| Location | 17400 Sw Upper Boones Ferry Rd., Durham, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871717611 | NPI | - | NPPES |
| CB6469 | Other | OR | MEDICARE RAILROAD PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 261QR0400X | Clinic/center - Rehabilitation | (* (Not Available)) | Primary |
| Provider Name | Adam E Reinecker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629238720 PECOS PAC ID: 0345313201 Enrollment ID: I20080725000120 |
| Provider Name | William T Walton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578646139 PECOS PAC ID: 9436140712 Enrollment ID: I20110204000425 |
| Provider Name | Chandrika M Moore |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285921148 PECOS PAC ID: 2264604966 Enrollment ID: I20110930000070 |
| Provider Name | Allison J Mcgaw |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225307358 PECOS PAC ID: 1850547308 Enrollment ID: I20120816000079 |
| Provider Name | Kirsten M Gower |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851767636 PECOS PAC ID: 6103129846 Enrollment ID: I20160129000895 |
| Provider Name | Jessica Hund |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093204562 PECOS PAC ID: 3072861855 Enrollment ID: I20181029001177 |
| Provider Name | Stephanie D Long |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396269452 PECOS PAC ID: 1052641875 Enrollment ID: I20190920003114 |
| Provider Name | Meghan Marie Key |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902683600 PECOS PAC ID: 0345685814 Enrollment ID: I20240224000449 |
| Mailing Address | Practice Location Address |
|---|---|
| Walton Physical Therapy & Sports Medicine Inc 17400 Sw Upper Boones Ferry Rd., Suite 280, Durham, OR 97224-7216 Ph: () - | Walton Physical Therapy & Sports Medicine Inc 17400 Sw Upper Boones Ferry Rd., Suite 280, Durham, OR 97224-7216 Ph: (503) 639-2118 |