| Starting Line Physical Therapy | |
|
1957 Thompson Rd Ste A, Coos Bay, OR 97420 | |
| (541) 266-7050 | |
| (541) 266-0180 |
| Full Name | Starting Line Physical Therapy |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1957 Thompson Rd Ste A, Coos Bay, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245789130 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | 4529 (Oregon) | Secondary |
| Provider Name | Mirian W Groenendaal |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124164678 PECOS PAC ID: 0840459301 Enrollment ID: I20120302000323 |
| Provider Name | Ellen M King |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255535340 PECOS PAC ID: 8224012539 Enrollment ID: I20120509000205 |
| Provider Name | Juliette L Hyatt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205178811 PECOS PAC ID: 5991943995 Enrollment ID: I20130604000144 |
| Mailing Address | Practice Location Address |
|---|---|
| Starting Line Physical Therapy 1957 Thompson Rd Ste A, Coos Bay, OR 97420 Ph: (541) 266-7050 | Starting Line Physical Therapy 1957 Thompson Rd Ste A, Coos Bay, OR 97420 Ph: (541) 266-7050 |
John Charles Delarosa, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2645 N 17th St, Coos Bay, OR 97420 Phone: 541-266-3658 | |
Horace J Ferrante Jr., PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2645 N 17th St, Coos Bay, OR 97420 Phone: 541-266-3658 Fax: 541-267-5395 | |
Michael Wilkins Jr., DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2645 N 17th St, Coos Bay, OR 97420 Phone: 541-266-3658 Fax: 541-267-5395 | |
Lawrence R Cheal, PHYSICAL THERAPIST Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1900 Woodland Dr, Coos Bay, OR 97420 Phone: 541-267-5151 Fax: 541-266-4526 | |
Mrs. Mirian W Groenendaal, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1957 Thompson Rd., Coos Bay, OR 97420 Phone: 541-266-7050 Fax: 541-266-0180 | |
Mr. Thomas S Zomerschoe, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1957 Thompson Rd, Coos Bay, OR 97420 Phone: 541-266-7050 Fax: 541-266-0180 | |
Mary Irene Hernandez, MPT, CWS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1900 Woodland Dr, Coos Bay, OR 97420 Phone: 541-267-5151 Fax: 541-267-2233 |