| Ms Heather M Klos, PT | |
|
1590 Ne 3rd St Ste B, Prineville, OR 97754 | |
| (541) 416-7476 | |
| (541) 416-7478 |
| Full Name | Ms Heather M Klos |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 19 Years |
| Location | 1590 Ne 3rd St Ste B, Prineville, Oregon |
| 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 |
|---|---|---|---|
| 1811074800 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 63002 (Oregon) | Primary |
| 225100000X | Physical Therapist | PT10151 (Washington) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cascade Rehabilitation Associates Pllc | 2567375728 | 19 |
| Provider Name | Cascade Rehabilitation Associates Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1245361617 PECOS PAC ID: 2567375728 Enrollment ID: O20031112000584 |
| Provider Name | Summit Rehabilitation Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1558492934 PECOS PAC ID: 9133012362 Enrollment ID: O20040203000556 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Heather M Klos, PT 1303 Ne Cushing Dr Ste 150, Bend, OR 97701-3891 Ph: () - | Ms Heather M Klos, PT 1590 Ne 3rd St Ste B, Prineville, OR 97754 Ph: (541) 416-7476 |
Nicole Seal, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1470 Ne 3rd St, Prineville, OR 97754 Phone: 541-447-6846 Fax: 541-447-1243 | |
Austin Harrison Fleming, DPT, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1590 Ne 3rd St Ste B, Prineville, OR 97754 Phone: 541-416-7476 Fax: 541-416-7478 | |
Mr. Kenneth W Smith, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1251 Ne Elm St, Ste 2-a, Prineville, OR 97754 Phone: 541-447-6846 Fax: 541-447-1243 | |
Kelsee Sofich, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1470 Ne 3rd St, Prineville, OR 97754 Phone: 541-447-6846 | |
Kenneth W Smith Pt Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1251 Ne Elm St Ste 2a, Prineville, OR 97754 Phone: 541-447-6846 Fax: 541-447-1243 | |
Sarah L Tonna, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 425 N Main St, Prineville, OR 97754 Phone: 541-416-7476 Fax: 541-416-7478 | |
Tamara M Weber, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 425 N Main St, Prineville, OR 97754 Phone: 541-416-7476 Fax: 541-416-7478 |