| Timothy Ahern, PT | |
|
725 N Stanley St, Suite B, Medical Lake, WA 99022-8940 | |
| (509) 299-7379 | |
| (509) 299-7307 |
| Full Name | Timothy Ahern |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 725 N Stanley St, Medical Lake, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932258829 | NPI | - | NPPES |
| 8450637 | Medicaid | WA | |
| 1350PE | Other | WA | ASURIS PIN MEDICALLAKE |
| 0208406 | Other | WA | L & I PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT00008595 (Washington) | Primary |
| Provider Name | Multicare Health System |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 |
| Provider Name | Apex Physical Therapy Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1538128442 PECOS PAC ID: 9537151485 Enrollment ID: O20040331001046 |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy Ahern, PT 315 W 9th Ave, Suite 100, Spokane, WA 99204-2501 Ph: (509) 326-8878 | Timothy Ahern, PT 725 N Stanley St, Suite B, Medical Lake, WA 99022-8940 Ph: (509) 299-7379 |
Mr. Martin J Blazekovic, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 West Maple Street, Medical Lake, WA 99022 Phone: 509-299-3121 Fax: 509-299-7015 | |
Robert Castellaw, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 317 N Broad St, Medical Lake, WA 99022 Phone: 509-565-3145 | |
Dyston R Madsen, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 725 N Stanley St Ste D, Medical Lake, WA 99022 Phone: 509-838-2531 Fax: 509-755-6580 | |
Dr. James Scott Basham, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 731 N Stanley St, Medical Lake, WA 99022 Phone: 509-299-6900 |