| Dan Richard Ibarra, PT | |
|
2395 Nw Stewart Pkwy, Roseburg, OR 97470-5653 | |
| (541) 957-5825 | |
| (541) 957-5801 |
| Full Name | Dan Richard Ibarra |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 2395 Nw Stewart Pkwy, Roseburg, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073680328 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 3599 (Oregon) | Primary |
| Provider Name | Northwest Physical Therapy, Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1144420910 PECOS PAC ID: 9133114861 Enrollment ID: O20040420000776 |
| Mailing Address | Practice Location Address |
|---|---|
| Dan Richard Ibarra, PT 2395 Nw Stewart Pkwy, Roseburg, OR 97470-5653 Ph: (541) 957-5825 | Dan Richard Ibarra, PT 2395 Nw Stewart Pkwy, Roseburg, OR 97470-5653 Ph: (541) 957-5825 |
Jerimiah Macdonald, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 913 Nw Garden Valley Blvd, Roseburg, OR 97471 Phone: 541-440-1000 | |
Aaron Sean Ziebart, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 2448 W Harvard Ave, Roseburg, OR 97471 Phone: 541-673-2408 Fax: 541-673-2432 | |
Explore Engage Enjoy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2198 Ne Stephens St Ste 101, Roseburg, OR 97470 Phone: 541-900-1418 Fax: 541-900-1419 | |
Northwest Physical Therapy, Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 2510 Nw Edenbower Blvd, #124, Roseburg, OR 97471 Phone: 541-957-5825 Fax: 541-957-5801 | |
Brian Austin Cook-lindsay, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1801 Nw Garden Valley Blvd, Roseburg, OR 97471 Phone: 541-673-4500 | |
John Steven Shipley, PHYSICAL THERAPIST Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2040 Nw Newcastle St, Roseburg, OR 97470 Phone: 541-673-1808 Fax: 541-673-2117 |