| Ridgemont Terrace Inc | |
|
2051 Pottery Ave, Port Orchard, WA 98366-2010 | |
| (360) 876-4461 | |
| (360) 876-4482 |
| Full Name | Ridgemont Terrace Inc |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist |
| Location | 2051 Pottery Ave, Port Orchard, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033119649 | NPI | - | NPPES |
| 4158804 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | NH588 (Washington) | Primary |
| 314000000X | Skilled Nursing Facility | NH588 (Washington) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Ridgemont Terrace Inc 2051 Pottery Ave, Port Orchard, WA 98366-2010 Ph: (360) 876-4461 | Ridgemont Terrace Inc 2051 Pottery Ave, Port Orchard, WA 98366-2010 Ph: (360) 876-4461 |
Cooper Maxwell Cochran, DOT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1730 Se Mile Hill Dr Unit 100, Port Orchard, WA 98366 Phone: 360-287-4662 | |
Trisha Trujillo, O.T.D., OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 425 Mitchell Ave, Port Orchard, WA 98366 Phone: 360-874-7000 | |
Julie Marie Gostin, OTR/L,CHT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 8403 View Park Dr., Port Orchard, WA 98367 Phone: 707-462-3520 | |
Mrs. Heidi Ann Vogel, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9456 Se Southworth Dr, Port Orchard, WA 98366 Phone: 360-769-8507 | |
Nancy Jo Rickey, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1400 Pottery Ave, Port Orchard, WA 98366 Phone: 360-895-5000 | |
Aaron T Croft, OTR Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1400 Pottery Ave, Port Orchard, WA 98366 Phone: 360-895-5000 Fax: 360-895-5034 |