| Bruce Balcita Jr, DPT | |
|
1328 Nw 6th St, Grants Pass, OR 97526-1255 | |
| (541) 476-4010 | |
| Not Available |
| Full Name | Bruce Balcita Jr |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1328 Nw 6th St, Grants Pass, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083105761 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (NU) | Primary |
| Provider Name | Total Performance Sports Medicine PC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1750614749 PECOS PAC ID: 4789730730 Enrollment ID: O20090916000772 |
| Mailing Address | Practice Location Address |
|---|---|
| Bruce Balcita Jr, DPT 1328 Nw 6th St, Grants Pass, OR 97526-1255 Ph: (541) 476-4010 | Bruce Balcita Jr, DPT 1328 Nw 6th St, Grants Pass, OR 97526-1255 Ph: (541) 476-4010 |
Jennifer Ostfeld Medley, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 702 Sw Ramsey Ave Ste 220, Grants Pass, OR 97527 Phone: 541-479-0765 Fax: 541-479-3461 |
Doranne Long, M.S., P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 544 Union Ave, Grants Pass, OR 97527 Phone: 541-955-0940 Fax: 541-955-5233 |
Jonathan Anders, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 625 Sw Ramsey Ave Ste B, Grants Pass, OR 97527 Phone: 541-479-6979 |
Kimberly Ann Johnson, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 625 Sw Ramsey, Suite B, Grants Pass, OR 97527 Phone: 541-476-1919 Fax: 541-476-1920 |
Impact Physical Therapy, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 625 Ramsey Ave, Suite B, Grants Pass, OR 97527 Phone: 541-476-1919 Fax: 541-476-1920 |
Mr. Ted Iwamizu, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 873 Ne 7th St, Grants Pass, OR 97526 Phone: 541-474-6955 |
Daniel Brasch, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 702 Sw Ramsey Ave, Suite 220, Grants Pass, OR 97527 Phone: 541-479-0765 Fax: 541-479-3461 |