| Coastal Home Health & Hospice Inc | |
|
580 5th St, Suite 600, Brookings, OR 97415-8329 | |
| (541) 469-7314 | |
| (541) 469-3669 |
| Full Name | Coastal Home Health & Hospice Inc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 580 5th St, Brookings, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043375520 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 3984 (Oregon) | Primary |
| Provider Name | Bradley G Kelly |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508973728 PECOS PAC ID: 8729089354 Enrollment ID: I20070125000105 |
| Provider Name | Susan E Brickley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366596470 PECOS PAC ID: 6709986029 Enrollment ID: I20070716000052 |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Home Health & Hospice Inc 580 5th St, Suite 600, Brookings, OR 97415-8329 Ph: (541) 469-7314 | Coastal Home Health & Hospice Inc 580 5th St, Suite 600, Brookings, OR 97415-8329 Ph: (541) 469-7314 |
Mr. Michael Worthey, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 614 Spruce St, Brookings, OR 97415 Phone: 541-469-1062 Fax: 541-469-8477 | |
Bryan Gettys, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Park Ave, Brookings, OR 97415 Phone: 888-366-0209 | |
Devin Leslie, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 565 5th St, Brookings, OR 97415 Phone: 541-469-1062 Fax: 541-469-8477 | |
Susan Elaine Brickley, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 580 5th St, Suite 600, Brookings, OR 97415 Phone: 541-469-7314 Fax: 541-469-3669 | |
Mrs. Cindy A Zima, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Park Ave, Brookings, OR 97415 Phone: 541-469-3111 | |
Mrs. Tara Simonson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 614 Spruce St, Brookings, OR 97415 Phone: 541-469-1062 Fax: 541-469-8477 |