| Mrs Dana E Black, PT | |
|
2312 W Main St Ste 117, Battle Ground, WA 98604-4233 | |
| (360) 687-7147 | |
| (360) 687-2866 |
| Full Name | Mrs Dana E Black |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 21 Years |
| Location | 2312 W Main St Ste 117, Battle Ground, Washington |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952460453 | NPI | - | NPPES |
| 188232 | Other | WA | L & I |
| PT00009536 | Other | WA | LICENSE NUMBER |
| 8405763 | Medicaid | WA | |
| 5772HI | Other | WA | REGENCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT00009536 (Washington) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sole Sisters Physical Therapy Llc | 2466604640 | 4 |
| Provider Name | Timberline Rehabilitation Service, Ps |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1427237619 PECOS PAC ID: 3476641929 Enrollment ID: O20071116000045 |
| Provider Name | Sole Sisters Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1487905196 PECOS PAC ID: 2466604640 Enrollment ID: O20121217000028 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Dana E Black, PT 2312 W Main St Ste 117, Battle Ground, WA 98604-4233 Ph: (360) 687-7147 | Mrs Dana E Black, PT 2312 W Main St Ste 117, Battle Ground, WA 98604-4233 Ph: (360) 687-7147 |
Kelsey J Peck, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 720 W Main St Ste 102, Battle Ground, WA 98604 Phone: 360-254-6161 Fax: 360-449-1146 | |
Mrs. Peggy Hanik, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1207 Se Rasmussen Blvd Ste 115, Battle Ground, WA 98604 Phone: 360-702-6494 Fax: 360-984-5845 | |
Brian James Kitzerow, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2005 W Main St Ste 140, Battle Ground, WA 98604 Phone: 360-882-2778 | |
Lindsey Levanen, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 19700 Ne 157th Ave, Battle Ground, WA 98604 Phone: 360-723-0010 | |
Brett Windsor, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2005 W Main St, Battle Ground, WA 98604 Phone: 360-882-2778 Fax: 360-604-1722 | |
Melissa Ramirez, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1808 Sw 9th Ave Ste 101, Battle Ground, WA 98604 Phone: 360-723-0797 Fax: 360-723-0732 | |
Mr. Steve Joseph Noveshen, P.T Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 720 W Main St Ste 102, Battle Ground, WA 98604 Phone: 360-254-6161 Fax: 360-449-1146 |