| Bridgetown Physical Therapy And Training Studio, Pc | |
|
1500 Sw 1st Ave Ste 150, Portland, OR 97201-5900 | |
| (503) 222-1955 | |
| (503) 222-1485 |
| Full Name | Bridgetown Physical Therapy And Training Studio, Pc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1500 Sw 1st Ave Ste 150, Portland, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194907873 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 4996 (Oregon) | Primary |
| Provider Name | Mark T Hatfield |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326022187 PECOS PAC ID: 9234161191 Enrollment ID: I20050831000642 |
| Provider Name | Joshua Kernen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881739845 PECOS PAC ID: 1254365596 Enrollment ID: I20050926000492 |
| Provider Name | Darla K Phillips |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588854020 PECOS PAC ID: 4486748399 Enrollment ID: I20100223000895 |
| Provider Name | Anna J Wetzel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649725441 PECOS PAC ID: 6608154877 Enrollment ID: I20161024001702 |
| Provider Name | Kinzie Marie Munar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639528185 PECOS PAC ID: 9133408461 Enrollment ID: I20161109001771 |
| Provider Name | Mariah Miller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578130431 PECOS PAC ID: 7012319098 Enrollment ID: I20210713003475 |
| Provider Name | Rebecca Cheri Slape |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770199283 PECOS PAC ID: 2163826108 Enrollment ID: I20210812001538 |
| Provider Name | Lindsay R Springer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669085148 PECOS PAC ID: 4880099464 Enrollment ID: I20210819001744 |
| Provider Name | Erik Kaufman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063177046 PECOS PAC ID: 3870983984 Enrollment ID: I20211203002474 |
| Provider Name | Dustin Nading |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366171118 PECOS PAC ID: 6800270521 Enrollment ID: I20220830002430 |
| Provider Name | Annika Hayman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790332229 PECOS PAC ID: 1951778471 Enrollment ID: I20221111002170 |
| Provider Name | Gillian A Beran-maryott |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932707635 PECOS PAC ID: 6507272671 Enrollment ID: I20230815003940 |
| Provider Name | Eric M Kendall |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801389143 PECOS PAC ID: 9830445832 Enrollment ID: I20240124001825 |
| Provider Name | Brady Hutchinson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598455313 PECOS PAC ID: 6305204314 Enrollment ID: I20240613001402 |
| Provider Name | Paisley Rose Hiefield |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134833858 PECOS PAC ID: 2668906439 Enrollment ID: I20241115002011 |
| Mailing Address | Practice Location Address |
|---|---|
| Bridgetown Physical Therapy And Training Studio, Pc 1500 Sw 1st Ave Ste 150, Portland, OR 97201-5900 Ph: (503) 222-1955 | Bridgetown Physical Therapy And Training Studio, Pc 1500 Sw 1st Ave Ste 150, Portland, OR 97201-5900 Ph: (503) 222-1955 |
Jonathan Rex Gustavson, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3426 Ne 62nd Ave, Portland, OR 97213 Phone: 503-312-3443 | |
Ms. Ruth A Hurst, P.T., G.C.F.P. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7721 Sw 34th Ave, Portland, OR 97219 Phone: 503-452-7767 | |
Ms. Molly Anne Bredenberg, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5050 Ne Hoyt St, Portland, OR 97213 Phone: 503-215-0424 | |
David Genco Jr., DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 319 Ne Russet St, Portland, OR 97211 Phone: 503-289-5571 | |
Jenna Valentine, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 9204 Se Mitchell St, Portland, OR 97266 Phone: 503-777-6746 | |
Ariel Witkin, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1515 Nw 18th Ave Ste 400, Portland, OR 97209 Phone: 503-228-1306 Fax: 503-228-1307 | |
Brian Carper, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 300 N Graham St Ste 430, Portland, OR 97227 Phone: 503-413-1500 |