| Direct Physical Therapy, Llc | |
|
21850 Highway 62 Ste 203, Shady Cove, OR 97539-8715 | |
| (541) 941-5170 | |
| (541) 878-8111 |
| Full Name | Direct Physical Therapy, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 21850 Highway 62 Ste 203, Shady Cove, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205109014 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 5130 (Oregon) | Primary |
| Provider Name | Ann Sprague |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124060835 PECOS PAC ID: 0345244976 Enrollment ID: I20120516000677 |
| Mailing Address | Practice Location Address |
|---|---|
| Direct Physical Therapy, Llc 997 Patton Ln, Ashland, OR 97520-9135 Ph: (541) 941-5170 | Direct Physical Therapy, Llc 21850 Highway 62 Ste 203, Shady Cove, OR 97539-8715 Ph: (541) 941-5170 |
Upper Rogue Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 21850 Highway 62 Ste 203, Shady Cove, OR 97539 Phone: 541-941-5170 Fax: 541-878-8111 | |
Mrs. Ann Marie Sprague, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 21850 Highway 62 Ste 203, Shady Cove, OR 97539 Phone: 541-941-5170 Fax: 541-878-8111 |