| Blake Thedinga, DPT | |
|
27 Colwell St, Port Hadlock, WA 98339-0897 | |
| (360) 385-9310 | |
| (360) 379-8826 |
| Full Name | Blake Thedinga |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 14 Years |
| Location | 27 Colwell St, Port Hadlock, Washington |
| 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 |
|---|---|---|---|
| 1861772998 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 60231824 (Washington) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Discovery Physical Therapy, Inc., P.s. | 7911906995 | 5 |
| Provider Name | Discovery Physical Therapy, Inc., P.s. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1922104926 PECOS PAC ID: 7911906995 Enrollment ID: O20061221000090 |
| Mailing Address | Practice Location Address |
|---|---|
| Blake Thedinga, DPT Po Box 897, Port Hadlock, WA 98339-0897 Ph: (360) 385-9310 | Blake Thedinga, DPT 27 Colwell St, Port Hadlock, WA 98339-0897 Ph: (360) 385-9310 |
Mary Ellen Breckel, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 27 Colwell St, Port Hadlock, WA 98339 Phone: 360-385-9310 Fax: 360-379-8826 | |
Gail E Maciejewski, MSPT, OCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 27 Colwell St, Port Hadlock, WA 98339 Phone: 360-385-9310 Fax: 360-379-8826 | |
Dirksen Physical Therapy Inc Ps Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 27 Colwell Street, Port Hadlock, WA 98339 Phone: 360-385-9310 Fax: 360-379-8826 | |
Amy I Lynch, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 27 Colwell Street, Port Hadlock, WA 98339 Phone: 360-385-9310 Fax: 360-379-8826 | |
Janet K. Hutchison, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 27 Colwell St, Port Hadlock, WA 98339 Phone: 360-385-9310 Fax: 360-379-8826 | |
Mr. Max Otto Selisch, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 27 Colwell St, Port Hadlock, WA 98339 Phone: 360-385-9310 Fax: 360-379-8826 | |
Erica Nixon Mack, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 27 Colwell St, Port Hadlock, WA 98339 Phone: 360-385-9310 Fax: 360-379-8826 |