| Blake Golden, | |
|
51385 Sw Old Portland Rd Ste E, Scappoose, OR 97056-4062 | |
| (503) 543-7768 | |
| Not Available |
| Full Name | Blake Golden |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 3 Years |
| Location | 51385 Sw Old Portland Rd Ste E, Scappoose, Oregon |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790537306 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (Nevada) | Secondary |
| 225100000X | Physical Therapist | 65565 (Oregon) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ideal Physical Therapy Of Texas Llc | 0547583809 | 359 |
| Rsfh - Ati Physical Therapy Llc | 3375849946 | 98 |
| Erhardt Physical Therapy And Sports Medicine Llc | 1153214739 | 58 |
| Provider Name | Ideal Physical Therapy of Texas LLC |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1538573746 PECOS PAC ID: 0547583809 Enrollment ID: O20141218000890 |
| Mailing Address | Practice Location Address |
|---|---|
| Blake Golden, 2001 Butterfield Rd Ste 1600, Downers Grove, IL 60515-1211 Ph: (866) 370-8206 | Blake Golden, 51385 Sw Old Portland Rd Ste E, Scappoose, OR 97056-4062 Ph: (503) 543-7768 |
Robert C Walsh, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 51577 Columbia River Hwy Ste A, Scappoose, OR 97056 Phone: 503-543-0254 |
Katelyn A Callahan, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 51385 Sw Old Portland Rd, Scappoose, OR 97056 Phone: 503-543-7768 Fax: 503-543-7772 |
Tonya N Bonifer, PT, DPT, CSRS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Po Box Ae, Scappoose, OR 97056 Phone: 615-604-9121 |
Olya Vasilyevna Kurkoski, PHYSICAL THERAPIST Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 51577 Columbia River Hwy, Suite A, Scappoose, OR 97056 Phone: 503-543-0254 Fax: 503-543-0259 |
Mr. James W Cavin, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 51577 Columbia River Hwy, Suite A, Scappoose, OR 97056 Phone: 503-543-0254 Fax: 503-543-0259 |
Tai Scappoose Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 51577 Columbia River Hwy, Ste A, Scappoose, OR 97056 Phone: 503-543-0254 Fax: 503-543-0259 |
Columbia County Mobile Physical Therapy Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 52436 Ne 14th St, Scappoose, OR 97056 Phone: 805-610-1416 |