| Anthony Otalora-sugaste, | |
|
15703 Pacific Ave S Ste B, Tacoma, WA 98444-4675 | |
| (253) 531-4100 | |
| (253) 531-3795 |
| Full Name | Anthony Otalora-sugaste |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 15703 Pacific Ave S Ste B, Tacoma, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972094795 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (Washington) | Primary |
| 225100000X | Physical Therapist | (NU) | Secondary |
| Provider Name | Ivyrehab Network Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1174577274 PECOS PAC ID: 3476539776 Enrollment ID: O20040628000865 |
| Provider Name | Professional Occupational & Physical Therapy, PLLC |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1215487772 PECOS PAC ID: 3779873401 Enrollment ID: O20170118000654 |
| Mailing Address | Practice Location Address |
|---|---|
| Anthony Otalora-sugaste, 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: Not Available | Anthony Otalora-sugaste, 15703 Pacific Ave S Ste B, Tacoma, WA 98444-4675 Ph: (253) 531-4100 |
Mr. Jesse Ryan Pooler, M.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 621 S Pine St, Tacoma, WA 98405 Phone: 253-835-8091 |
Ms. Katherine Jean Thurman, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4020 S 56th St, Tacoma, WA 98409 Phone: 253-475-6862 |
Gabrielle Abrahamsen, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9040 Jackson Ave, Tacoma, WA 98431 Phone: 253-968-2220 |
Tai - Central Tacoma Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3518 6th Ave Ste 200a, Tacoma, WA 98406 Phone: 503-443-6156 |
Isabel Monaghan, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1550 S Union Ave Ste 130, Tacoma, WA 98405 Phone: 253-552-2525 |
Ms. Hannah L Goldstein, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5006 Center St, Ste N, Tacoma, WA 98409 Phone: 253-476-0449 |
Marcos Alejandro Castillo, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 11112 Pacific Ave S, Tacoma, WA 98444 Phone: 253-537-1103 |