| Peter Kolodychuk, | |
|
2116 E Section St Ste B17, Mount Vernon, WA 98274-9124 | |
| (360) 588-4241 | |
| Not Available |
| Full Name | Peter Kolodychuk |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 5 Years |
| Location | 2116 E Section St Ste B17, Mount Vernon, Washington |
| 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 |
|---|---|---|---|
| 1215545165 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northwest Center For Sports Medicine And Physical Therapy Inc | 1759278542 | 69 |
| Provider Name | Northwest Center For Sports Medicine & Physical Therapy Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1982755070 PECOS PAC ID: 1759278542 Enrollment ID: O20150728005642 |
| Mailing Address | Practice Location Address |
|---|---|
| Peter Kolodychuk, 1200 Corporate Dr Ste 400, Birmingham, AL 35242-5424 Ph: () - | Peter Kolodychuk, 2116 E Section St Ste B17, Mount Vernon, WA 98274-9124 Ph: (360) 588-4241 |
Keelymae J Regan, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1500 Continental Pl, Mount Vernon, WA 98273 Phone: 360-424-7041 Fax: 360-424-2456 | |
Ashley L Shaner, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1901 Hoag Rd Ste B, Mount Vernon, WA 98273 Phone: 360-814-8030 | |
Dr. Dana Sturtz, DPT, GCS Physical Therapist Medicare: Medicare Enrolled Practice Location: 1415 E Kincaid St, Mount Vernon, WA 98274 Phone: 360-814-2184 | |
Urban Fitness And Health Club Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 525 E College Way, Mount Vernon, WA 98273 Phone: 206-999-9310 | |
Kimberly Kae Miller, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1401 S Laventure Rd, Mount Vernon, WA 98274 Phone: 360-424-2400 Fax: 360-424-2418 | |
Sarah Louise Johnston, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1415 E Kincaid St, Mount Vernon, WA 98274 Phone: 360-814-2699 | |
Jessica Ann Younger, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1415 E Kincaid St, Childrens Therapy Department, Mount Vernon, WA 98274 Phone: 360-814-2696 Fax: 360-814-5467 |