| Sandy Sportscare Physical Therapy Llc | |
|
16621 Champion Way Ste 100, Sandy, OR 97055-7258 | |
| (503) 668-5321 | |
| Not Available |
| Full Name | Sandy Sportscare Physical Therapy Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 16621 Champion Way Ste 100, Sandy, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376193425 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Clem George Eischen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043292311 PECOS PAC ID: 7416846985 Enrollment ID: I20040312000546 |
| Provider Name | Patrick Clinton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265801070 PECOS PAC ID: 4486962578 Enrollment ID: I20151009002309 |
| Provider Name | Kevin G Eischen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821543075 PECOS PAC ID: 2860777802 Enrollment ID: I20170314001402 |
| Provider Name | Michael Anthony Crawford |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164732343 PECOS PAC ID: 2961817150 Enrollment ID: I20210222001294 |
| Provider Name | Kordell L Mcpherson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033845953 PECOS PAC ID: 1850768912 Enrollment ID: I20221102000142 |
| Mailing Address | Practice Location Address |
|---|---|
| Sandy Sportscare Physical Therapy Llc 16621 Champion Way Ste 100, Sandy, OR 97055-7258 Ph: (503) 668-5321 | Sandy Sportscare Physical Therapy Llc 16621 Champion Way Ste 100, Sandy, OR 97055-7258 Ph: (503) 668-5321 |
Dr. Kordell Lewis Mcpherson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 16621 Champion Way Ste 100, Sandy, OR 97055 Phone: 503-668-5321 | |
Dr. Nancy Penrod Monnie, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 16621 Champion Way, Suite 100, Sandy, OR 97055 Phone: 503-668-5321 Fax: 503-668-9742 | |
Nancy P. Monnie, Pc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 16621 Champion Way, Suite 100, Sandy, OR 97055 Phone: 503-668-5321 Fax: 503-668-9742 | |
Dr. Timothy Max Wallenburg, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 17420 Meinig Ave, Sandy, OR 97055 Phone: 503-427-0118 Fax: 503-427-0279 | |
Stewart Wilent, DPT, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 16621 Champion Way Ste 100, Sandy, OR 97055 Phone: 503-668-5321 Fax: 503-668-9742 | |
Victoria Elizabeth Guinn, DPT, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 16621 Champion Way Ste 100, Sandy, OR 97055 Phone: 503-668-5321 Fax: 503-668-9742 |