Alexander Shepherd, DPT | |
922 Valley Ave Nw Unit 101, Puyallup, WA 98371-2536 | |
(253) 466-7868 | |
Not Available |
Full Name | Alexander Shepherd |
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Gender | Male |
Speciality | Physical Therapist |
Location | 922 Valley Ave Nw Unit 101, Puyallup, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598549412 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT61666450 (Washington) | Primary |
225100000X | Physical Therapist | PT020718 (Ohio) | Secondary |
Provider Name | New Proactive Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1396273199 PECOS PAC ID: 7315218708 Enrollment ID: O20170901001937 |
Mailing Address | Practice Location Address |
---|---|
Alexander Shepherd, DPT 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: (423) 238-7217 | Alexander Shepherd, DPT 922 Valley Ave Nw Unit 101, Puyallup, WA 98371-2536 Ph: (253) 466-7868 |
Peter Kelley Janicki, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3912 10th St Se, Suite 101, Puyallup, WA 98374 Phone: 253-848-4700 Fax: 253-848-2284 | |
Mr. Jonas Cline, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 400 29th St Ne, Puyallup, WA 98372 Phone: 253-840-4400 | |
Justin Higa, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1450 5th St Se Ste 4400, Puyallup, WA 98372 Phone: 253-881-1362 Fax: 253-881-1368 | |
Sara Kerrick, M.S., PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 402 15th Ave Se, #100, Puyallup, WA 98372 Phone: 253-607-5200 Fax: 253-697-5145 | |
Marilee J Fijalka-carr, M.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 402 15th Ave Se, #100, Puyallup, WA 98372 Phone: 253-697-5200 Fax: 253-697-5145 | |
Dr. Tyler Trudeau, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1420 3rd St Se, Ste. 102, Puyallup, WA 98372 Phone: 253-770-1807 Fax: 253-770-1985 | |
Brooke Ferraro, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1707 3rd St Se, Puyallup, WA 98372 Phone: 253-841-3041 |