| Dr Cody Cataldo-gillman, PT, DPT | |
|
350 S 8th St, Lebanon, OR 97355-2242 | |
| (541) 259-1221 | |
| Not Available |
| Full Name | Dr Cody Cataldo-gillman |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 350 S 8th St, Lebanon, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104476969 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (Oregon) | Primary |
| Provider Name | Premere Rehab Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1245278639 PECOS PAC ID: 2567434764 Enrollment ID: O20110105000915 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Cody Cataldo-gillman, PT, DPT 25117 Sw Parkway Ave, Wilsonville, OR 97070-9697 Ph: (503) 570-3665 | Dr Cody Cataldo-gillman, PT, DPT 350 S 8th St, Lebanon, OR 97355-2242 Ph: (541) 259-1221 |
Kelly Rose Becker, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 525 N Santiam Hwy, Lebanon, OR 97355 Phone: 541-451-7125 Fax: 541-451-7589 | |
Holly Jane Copenhagen, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 525 N Santiam Hwy, Lebanon, OR 97355 Phone: 541-451-7125 | |
Sara Beth Detweiler, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 525 N Santiam Hwy, Physical Therapy And Rehab Medicine, Lebanon, OR 97355 Phone: 541-258-2101 | |
Ms. Kelly C Gillespie, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 525 N Santiam Hwy, Lebanon, OR 97355 Phone: 541-451-7125 Fax: 541-451-7589 | |
Mr. Gregg N Palzer, PT, DC Physical Therapist Medicare: Medicare Enrolled Practice Location: 32017 Hidden Valley Rd, Lebanon, OR 97355 Phone: 541-223-2090 | |
Lebanon Physical Therapy, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 1195 S Main St, Lebanon, OR 97355 Phone: 541-401-6500 |