| Powerback Rehabilitation | |
|
3500 12th St, Tillamook, OR 97141-2637 | |
| (971) 354-4267 | |
| Not Available |
| Full Name | Powerback Rehabilitation |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 3500 12th St, Tillamook, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184205056 | NPI | - | NPPES |
| Provider Name | Lucy Dahl |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326312414 PECOS PAC ID: 6305070327 Enrollment ID: I20131007000869 |
| Provider Name | Haleigh Marie Rabe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518541507 PECOS PAC ID: 8820407448 Enrollment ID: I20210512001725 |
| Provider Name | Nayana Kode |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982972147 PECOS PAC ID: 1153582325 Enrollment ID: I20210629002545 |
| Provider Name | Tyler Gregory Whygle |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1811257272 PECOS PAC ID: 1052712809 Enrollment ID: I20210630001974 |
| Provider Name | Mary Shores |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124488838 PECOS PAC ID: 0941614622 Enrollment ID: I20230531002052 |
| Provider Name | Madison Carlson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235774753 PECOS PAC ID: 7012340532 Enrollment ID: I20230531002120 |
| Provider Name | Jared Doak |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285105627 PECOS PAC ID: 0547653974 Enrollment ID: I20230705002564 |
| Provider Name | Julie A Andreoli |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740616234 PECOS PAC ID: 2365741097 Enrollment ID: I20230707001553 |
| Provider Name | Carl Flores |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538845409 PECOS PAC ID: 1850751496 Enrollment ID: I20230714001248 |
| Provider Name | Brianna Abernathy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457863714 PECOS PAC ID: 3678832920 Enrollment ID: I20230908000534 |
| Provider Name | Stacey L S Moore |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558426593 PECOS PAC ID: 9739534199 Enrollment ID: I20231005000779 |
| Mailing Address | Practice Location Address |
|---|---|
| Powerback Rehabilitation 101 E State St, Kennett Square, PA 19348-3109 Ph: (800) 728-8808 | Powerback Rehabilitation 3500 12th St, Tillamook, OR 97141-2637 Ph: (971) 354-4267 |
Jonathan Mark Jackson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 3rd St, Tillamook, OR 97141 Phone: 503-842-4444 | |
Trask River Therapy Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 27025 Trask River Rd, Tillamook, OR 97141 Phone: 503-842-7305 Fax: 503-842-0447 | |
Danielle Nightshade, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2101 5th St Ste B, Tillamook, OR 97141 Phone: 503-354-2170 Fax: 541-833-4053 | |
Ms. Susan Diane Knotts, PT LMT Physical Therapist Medicare: Medicare Enrolled Practice Location: 27025 Trask River Road, Tillamook, OR 97141 Phone: 503-842-7305 Fax: 503-842-0447 | |
Brandy Jacob, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 3rd St, Tillamook, OR 97141 Phone: 503-842-4444 |