| Phase 1 Physical Therapy Ps | |
|
5928 Highway 291, Nine Mile Falls, WA 99026-9525 | |
| (509) 465-5663 | |
| (509) 467-8663 |
| Full Name | Phase 1 Physical Therapy Ps |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 5928 Highway 291, Nine Mile Falls, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235189135 | NPI | - | NPPES |
| 7116437 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Matthew P Fain |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982700563 PECOS PAC ID: 8426074600 Enrollment ID: I20051017001036 |
| Provider Name | Joel T San Nicolas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003866658 PECOS PAC ID: 4082607353 Enrollment ID: I20061229000209 |
| Provider Name | Blake H Lavin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427879451 PECOS PAC ID: 3072039536 Enrollment ID: I20250428002375 |
| Mailing Address | Practice Location Address |
|---|---|
| Phase 1 Physical Therapy Ps Po Box 549, Nine Mile Falls, WA 99026-0549 Ph: (509) 465-5663 | Phase 1 Physical Therapy Ps 5928 Highway 291, Nine Mile Falls, WA 99026-9525 Ph: (509) 465-5663 |
Joel T San Nicolas, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5928 Highway 291, Nine Mile Falls, WA 99026 Phone: 509-465-5663 Fax: 509-467-8663 | |
Blake H Lavin, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 6066 Highway 291, Nine Mile Falls, WA 99026 Phone: 509-465-5663 Fax: 509-467-8663 | |
Greater Spokane Therapies Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: W 13011 Shore Road, Nine Mile Falls, WA 99026 Phone: 509-991-5678 Fax: 509-328-7802 |