| Mountain Valley Therapy, Inc | |
|
2519 Cove Ave, La Grande, OR 97850-3910 | |
| (541) 962-0830 | |
| Not Available |
| Full Name | Mountain Valley Therapy, Inc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 2519 Cove Ave, La Grande, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659353035 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 3006 (Oregon) | Primary |
| Provider Name | David C Ebel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801879713 PECOS PAC ID: 4981598422 Enrollment ID: I20040706000127 |
| Provider Name | Ronald W Babcock |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972537272 PECOS PAC ID: 2668459736 Enrollment ID: I20040707000108 |
| Provider Name | Nichola D Ebel |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407827603 PECOS PAC ID: 9133161599 Enrollment ID: I20050525000871 |
| Provider Name | James A Gorham |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003898958 PECOS PAC ID: 8820199664 Enrollment ID: I20070724000649 |
| Provider Name | Patrick M Webinger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851725865 PECOS PAC ID: 5597999060 Enrollment ID: I20131016001327 |
| Provider Name | Rachael E Dillavou |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588192611 PECOS PAC ID: 9537438726 Enrollment ID: I20170630002243 |
| Provider Name | James R Hottal |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093236523 PECOS PAC ID: 7214201052 Enrollment ID: I20170918003271 |
| Provider Name | Danielle M Barrett |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619471380 PECOS PAC ID: 4789949074 Enrollment ID: I20180608000146 |
| Provider Name | Kenton D Kirby |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134438419 PECOS PAC ID: 1355687369 Enrollment ID: I20190112000036 |
| Provider Name | Joanna M Hallam |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003460072 PECOS PAC ID: 5092043042 Enrollment ID: I20190828003736 |
| Provider Name | Jeffrey Allen Cusumano |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568008803 PECOS PAC ID: 5799107801 Enrollment ID: I20200618001755 |
| Provider Name | Gage W Park |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073138434 PECOS PAC ID: 7214359975 Enrollment ID: I20201120001882 |
| Provider Name | Bradford A Thomas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811484710 PECOS PAC ID: 5294142204 Enrollment ID: I20210318000681 |
| Provider Name | Claire E Schumock |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619545761 PECOS PAC ID: 0042614455 Enrollment ID: I20210806002332 |
| Provider Name | Juliann Hanson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053527697 PECOS PAC ID: 6103900725 Enrollment ID: I20211110001888 |
| Provider Name | Amy L Charlton |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255315735 PECOS PAC ID: 5496791394 Enrollment ID: I20220920003638 |
| Provider Name | Jacob Francis Bruce |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780220269 PECOS PAC ID: 7113315102 Enrollment ID: I20231127001564 |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain Valley Therapy, Inc 2519 Cove Ave, La Grande, OR 97850-3910 Ph: (541) 962-0830 | Mountain Valley Therapy, Inc 2519 Cove Ave, La Grande, OR 97850-3910 Ph: (541) 962-0830 |
Joanna Hallam, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2519 Cove Ave, La Grande, OR 97850 Phone: 541-962-0830 | |
James Arthur Gorham, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2519 Cove Ave, La Grande, OR 97850 Phone: 541-962-0830 Fax: 541-975-2720 | |
Julia Rae Richard, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 610 Sunset Dr, La Grande, OR 97850 Phone: 541-963-1437 | |
Mr. James Russell Hottal, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2519 Cove Ave, La Grande, OR 97850 Phone: 541-962-0830 | |
Mr. Benjamin Michael Bertrand, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 301 4th St, La Grande, OR 97850 Phone: 541-963-9340 Fax: 541-962-4562 | |
Jennifer Sloop Moore, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 610 Sunset Dr, La Grande, OR 97850 Phone: 541-963-1437 | |
Jefferson K Whinery, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 610 Sunset Dr, La Grande, OR 97850 Phone: 541-963-1437 |