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 |
---|---|
Speciality | Physical Therapist |
Location | 1957 Thompson Rd Ste A, Coos Bay, Oregon |
Authorized Official Name and Position | Juliette L Hyatt (OWNER/PHYSICAL THERAPIST) |
Authorized Official Contact | 5412667050 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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 |
NPI Number | 1245789130 |
---|---|
Provider Enumeration Date | 10/03/2016 |
Last Update Date | 11/28/2022 |
Medicare PECOS PAC ID | 9436435062 |
---|---|
Medicare Enrollment ID | O20170417000359 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245789130 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 4529 (Oregon) | Secondary |
225100000X | Physical Therapist | (* (Not Available)) | Primary |
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 |
Coos Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 320 Central Ave, Suite 418, Coos Bay, OR 97420 Phone: 541-294-0257 | |
Coquille Valley Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2699 N 17th St, Coos Bay, OR 97420 Phone: 541-266-3600 Fax: 541-824-1702 | |
Coquille Indian Tribe Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 630 Miluk Dr, Coos Bay, OR 97420 Phone: 541-888-9494 Fax: 541-888-4435 | |
North Bend Medical Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1900 Woodland Dr, Coos Bay, OR 97420 Phone: 541-267-5151 Fax: 541-266-4501 | |
Proactive Nutrition & Wellness Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1455 Laurel Ave, Coos Bay, OR 97420 Phone: 727-409-0016 | |
Waterfall Clinic, Incorporated Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 826 S 11th St, Coos Bay, OR 97420 Phone: 541-756-6232 Fax: 541-756-6234 |