| Eagle Rock Physical Therapy, Ps | |
|
411 Hospital Way, Brewster, WA 98812 | |
| (509) 689-4301 | |
| (509) 689-4307 |
| Full Name | Eagle Rock Physical Therapy, Ps |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 411 Hospital Way, Brewster, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700054186 | NPI | - | NPPES |
| 7131659 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT00003294 (Washington) | Primary |
| Provider Name | Shawn M Isenhart |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073844189 PECOS PAC ID: 9032242896 Enrollment ID: I20100729000887 |
| Provider Name | Elias Driessen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265901813 PECOS PAC ID: 5294078416 Enrollment ID: I20190509002378 |
| Mailing Address | Practice Location Address |
|---|---|
| Eagle Rock Physical Therapy, Ps Po Box 769, 411 Hospital Way, Brewster, WA 98812-0769 Ph: (509) 689-4301 | Eagle Rock Physical Therapy, Ps 411 Hospital Way, Brewster, WA 98812 Ph: (509) 689-4301 |
Shawn Michael Isenhart, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 411 Hospital Way, Brewster, WA 98812 Phone: 509-689-4301 Fax: 509-689-4307 | |
Danielle Nowlin, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 507 Hospital Way, Brewster, WA 98812 Phone: 509-689-2517 | |
Elias Driessen, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 411 Hospital Way, Brewster, WA 98812 Phone: 509-689-4301 | |
Mark Anthony Miller, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 537 West Main St, Brewster, WA 98812 Phone: 509-689-2260 Fax: 509-689-8401 | |
Eagle Rock Physical Therapy Pllc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 411 Hospital Way, Brewster, WA 98812 Phone: 509-689-4301 Fax: 509-689-4307 | |
Lisa Diane Sonneman, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 411 Hospital Way, Brewster, WA 98812 Phone: 509-689-4301 |