| West Campus Sport & Orthopedic Physical Ps Inc. | |
|
505 S 336th St Ste 140, Federal Way, WA 98003 | |
| (253) 874-6620 | |
| (253) 874-2542 |
| Full Name | West Campus Sport & Orthopedic Physical Ps Inc. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 505 S 336th St Ste 140, Federal Way, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205903390 | NPI | - | NPPES |
| 8346322 | Medicaid | WA | |
| 09521 | Other | WA | L&I |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT00002979 (Washington) | Primary |
| Provider Name | Cheryl A Ayres |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104993278 PECOS PAC ID: 5193719706 Enrollment ID: I20120423000748 |
| Provider Name | John Stigen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063012904 PECOS PAC ID: 0648679936 Enrollment ID: I20210518001899 |
| Mailing Address | Practice Location Address |
|---|---|
| West Campus Sport & Orthopedic Physical Ps Inc. 505 S 336th St Ste 140, Federal Way, WA 98003-5946 Ph: (253) 874-6620 | West Campus Sport & Orthopedic Physical Ps Inc. 505 S 336th St Ste 140, Federal Way, WA 98003 Ph: (253) 874-6620 |
Mrs. Irene Davila-wittrock, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 33330 8th Ave S, Federal Way, WA 98003 Phone: 253-945-2086 Fax: 253-945-2177 | |
Katelyn Blanchard, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1045 S 308th St, Federal Way, WA 98003 Phone: 253-946-2273 | |
Erika Beebe, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 505 S 336th St Ste 140, Federal Way, WA 98003 Phone: 253-874-6620 | |
Austin James Lujano, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 31653 Pacific Hwy S Ste B, Federal Way, WA 98003 Phone: 253-252-7137 | |
Ann E. Jaeger, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 301 S 320th St, Federal Way, WA 98003 Phone: 253-874-7000 | |
Timothy A. Newton, MPT ATC Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 900 S 336th St, Federal Way, WA 98003 Phone: 253-237-0611 Fax: 253-237-0606 | |
Melissa L Gavigan, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1010 S 336th St, Suite 210, Federal Way, WA 98003 Phone: 253-835-8091 Fax: 888-835-7102 |