| Madras Physical Therapy Group Inc. | |
|
910 Sw Highway 97, Suite 200, Madras, OR 97741-9247 | |
| (541) 475-2571 | |
| (541) 475-2590 |
| Full Name | Madras Physical Therapy Group Inc. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 910 Sw Highway 97, Madras, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881913929 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2791 (Oregon) | Primary |
| Provider Name | Robert O Nelson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669507596 PECOS PAC ID: 1456371475 Enrollment ID: I20051205000729 |
| Provider Name | Brian T Groves |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821317967 PECOS PAC ID: 1355465725 Enrollment ID: I20100908000496 |
| Provider Name | Jennifer C Rost |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568465508 PECOS PAC ID: 3274539127 Enrollment ID: I20121023000703 |
| Provider Name | Brian M Rost |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548312580 PECOS PAC ID: 8224000351 Enrollment ID: I20121231000113 |
| Mailing Address | Practice Location Address |
|---|---|
| Madras Physical Therapy Group Inc. 910 Sw Highway 97, Suite 200, Madras, OR 97741-9247 Ph: (541) 475-2571 | Madras Physical Therapy Group Inc. 910 Sw Highway 97, Suite 200, Madras, OR 97741-9247 Ph: (541) 475-2571 |
Mrs. Karin Elizabeth Monger, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 230 Sw 5th St, Madras, OR 97741 Phone: 541-475-1218 Fax: 541-475-7647 | |
Dr. Alexander Grimsley, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 230 S 5th St, Madras, OR 97741 Phone: 541-475-1218 | |
Brock Monger, D.P.T Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 230 Sw 5th St, Madras, OR 97741 Phone: 541-475-1218 Fax: 541-475-7647 | |
Robert O Nelson, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 910 Sw Highway 97, Madras Physical Therapy Group, Inc, Suite 200, Madras, OR 97741 Phone: 541-475-2571 Fax: 541-475-2590 | |
Dr. Kasey Lohman, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 785 Se Mctaggart Rd, Madras, OR 97741 Phone: 541-475-2571 | |
Dr. Alicia Lenore Oberholzer, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 910 Sw Highway 97, Suite 200, Madras, OR 97741 Phone: 541-475-2571 | |
Brian Trevor Groves, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 910 Sw Highway 97, Suite 200, Madras, OR 97741 Phone: 541-475-2571 Fax: 541-475-2590 |