| Tara Gordon, | |
|
732 Lebo Blvd, Bremerton, WA 98310-3325 | |
| (360) 627-8041 | |
| Not Available |
| Full Name | Tara Gordon |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 3 Years |
| Location | 732 Lebo Blvd, Bremerton, Washington |
| 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 |
|---|---|---|---|
| 1285328278 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 40QA02173600 (New Jersey) | Secondary |
| 225100000X | Physical Therapist | PT.PT.70122552-CP (Washington) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Atlantic Physical Therapy Center | 8820168123 | 117 |
| Ivyrehab Network Inc | 3476539776 | 647 |
| Provider Name | Ivyrehab Network Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1174577274 PECOS PAC ID: 3476539776 Enrollment ID: O20040628000865 |
| Mailing Address | Practice Location Address |
|---|---|
| Tara Gordon, 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: (423) 702-4389 | Tara Gordon, 732 Lebo Blvd, Bremerton, WA 98310-3325 Ph: (360) 627-8041 |
Kimberly Zavack, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2701 Clare Ave, Bremerton, WA 98310 Phone: 360-377-3951 | |
Mr. Michael Duncan Bell, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 140 S Marion Ave, Bremerton, WA 98312 Phone: 260-478-6246 | |
Kathleen Erin Hutchinson, PT DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1550 Ne Riddell Rd Ste 170, Bremerton, WA 98310 Phone: 360-474-3274 Fax: 360-824-6720 | |
Daniel John Staples, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 732 Lebo Blvd, Bremerton, WA 98310 Phone: 360-627-8041 | |
Miss Ann L. Armstrong, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Boone Rd, Bremerton, WA 98312 Phone: 360-475-4455 Fax: 866-502-1901 | |
James M Green Ps Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 900 Sheridan Rd., #109, Bremerton, WA 98310 Phone: 360-377-3395 Fax: 360-792-1249 | |
Mr. Peter Douglas Sicotte, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Boone Rd, Bremerton, WA 98312 Phone: 360-475-4833 |