| Timothy Gray, DPT | |
|
9107 Fortuna Dr, Mercer Island, WA 98040-3132 | |
| (206) 209-0623 | |
| Not Available |
| Full Name | Timothy Gray |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 9107 Fortuna Dr, Mercer Island, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124707971 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Bespoke Treatments Seattle Pt Pllc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1184140246 PECOS PAC ID: 4880950674 Enrollment ID: O20171110001808 |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy Gray, DPT 231 26th Ave E Apt 307, Seattle, WA 98112-5472 Ph: (313) 401-4340 | Timothy Gray, DPT 9107 Fortuna Dr, Mercer Island, WA 98040-3132 Ph: (206) 209-0623 |
Alexandra Peterson, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9150 Fortuna Dr, Mercer Island, WA 98040 Phone: 206-316-8042 | |
Joy Danielle Bergstedt, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7525 Se 24th St, Suite 510, Mercer Island, WA 98040 Phone: 206-230-8320 Fax: 206-230-8315 | |
Tanner Lee Dalgardno, Physical Therapist Medicare: Medicare Enrolled Practice Location: 7900 Se 28th St Ste 102, Mercer Island, WA 98040 Phone: 206-232-9045 | |
Laura E Broudy, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 7900 Se 28th St Ste 102, Mercer Island, WA 98040 Phone: 206-232-9045 Fax: 206-232-8871 | |
Dr. Lia Buzzell, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7900 Se 28th St Ste 102, Mercer Island, WA 98040 Phone: 206-232-9045 Fax: 206-232-8871 | |
Sandra Efseaff, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7452 W Mercer Way, Mercer Island, WA 98040 Phone: 206-230-0505 |