| Mr James Russell Hottal, PT | |
|
2519 Cove Ave, La Grande, OR 97850 | |
| (541) 962-0830 | |
| Not Available |
| Full Name | Mr James Russell Hottal |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 40 Years |
| Location | 2519 Cove Ave, La Grande, Oregon |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093236523 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT00008975 (Washington) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mountain Valley Therapy, Inc | 9537053079 | 10 |
| Provider Name | Mountain Valley Therapy, Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1659353035 PECOS PAC ID: 9537053079 Enrollment ID: O20040213000395 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr James Russell Hottal, PT 2519 Cove Ave, La Grande, OR 97850-3910 Ph: () - | Mr James Russell Hottal, PT 2519 Cove Ave, La Grande, OR 97850 Ph: (541) 962-0830 |
Joanna Hallam, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare 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. 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: Accepting Medicare Assignments 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 |