| Ryan Short, DPT | |
|
1251 Ne Elm St Ste 2a, Prineville, OR 97754-3143 | |
| (541) 447-6846 | |
| (541) 447-1243 |
| Full Name | Ryan Short |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 7 Years |
| Location | 1251 Ne Elm St Ste 2a, Prineville, Oregon |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740747781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 63137 (Oregon) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hands On Physical Therapy, Pc | 9537173034 | 7 |
| Provider Name | Hands On Physical Therapy, Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1912129073 PECOS PAC ID: 9537173034 Enrollment ID: O20060206000178 |
| Provider Name | New Proactive Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1396273199 PECOS PAC ID: 7315218708 Enrollment ID: O20170901001937 |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan Short, DPT 1480 Ne Village St, Fairview, OR 97024-3827 Ph: (503) 489-1174 | Ryan Short, DPT 1251 Ne Elm St Ste 2a, Prineville, OR 97754-3143 Ph: (541) 447-6846 |
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 |