| Luke W Kohley, MSPT | |
|
38505 Brooten Rd Ste C, Pacific City, OR 97135 | |
| (503) 965-6400 | |
| (503) 965-9555 |
| Full Name | Luke W Kohley |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 38505 Brooten Rd Ste C, Pacific City, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346228731 | NPI | - | NPPES |
| 182881 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 4204 (Oregon) | Primary |
| Provider Name | Benchmark Physical Therapy Of Oregon Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1801257191 PECOS PAC ID: 0143510602 Enrollment ID: O20160613001008 |
| Mailing Address | Practice Location Address |
|---|---|
| Luke W Kohley, MSPT 1200 Corporate Dr Ste 400, Birmingham, AL 35242-5424 Ph: (423) 238-7217 | Luke W Kohley, MSPT 38505 Brooten Rd Ste C, Pacific City, OR 97135 Ph: (503) 965-6400 |
Janelle Stacy, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 38505 Brooten Rd Ste C, Pacific City, OR 97135 Phone: 503-965-6400 Fax: 503-965-9555 | |
Benchmark Physical Therapy Of Oregon Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 38505 Brooten Rd, Pacific City, OR 97135 Phone: 503-965-6400 |