| Brooke Moore, | |
|
1217 Plaza Blvd Ste E, Central Point, OR 97502-2682 | |
| (541) 664-2800 | |
| (541) 664-0555 |
| Full Name | Brooke Moore |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 1217 Plaza Blvd Ste E, Central Point, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821643685 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 63393 (Oregon) | Primary |
| Provider Name | Therapeutic Associates Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1972589364 PECOS PAC ID: 0042116279 Enrollment ID: O20040205000432 |
| Provider Name | Life Out Loud Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1952947616 PECOS PAC ID: 3375957293 Enrollment ID: O20210203002895 |
| Mailing Address | Practice Location Address |
|---|---|
| Brooke Moore, 16083 Sw Upper Boones Ferry Rd Ste 300, Tigard, OR 97224-7736 Ph: (503) 443-6156 | Brooke Moore, 1217 Plaza Blvd Ste E, Central Point, OR 97502-2682 Ph: (541) 664-2800 |
Ernest W Eberling Jr., PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 512 Manzanita St, Central Point, OR 97502 Phone: 541-664-5151 | |
Dr. Amanda Olson, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1249 Plaza Blvd, Ste F, Central Point, OR 97502 Phone: 800-219-8835 | |
Kristin Kay Peterson, PHYSICAL THERAPIST Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1217 Plaza Blvd Ste E, Suite 130, Central Point, OR 97502 Phone: 541-664-2800 Fax: 541-664-0555 | |
Lacey Ann Dean, Physical Therapist Medicare: Medicare Enrolled Practice Location: 98 Freeman Rd Ste B, Central Point, OR 97502 Phone: 541-664-2800 | |
Mrs. Faith Leann Kashishian, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 870 S Front St, Central Point, OR 97502 Phone: 541-732-8286 Fax: 541-732-8207 | |
Jeremy M. Carlson, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 870 S Front St, Central Point, OR 97502 Phone: 541-732-8280 | |
Luke J Bell, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 870 S Front St Ste 105, Central Point, OR 97502 Phone: 541-732-8280 |