Matthew P Fain (NPI# 1982700563, PAC ID# 8426074600) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
Nation Provider ID (NPI) | 1982700563 |
PAC ID by PECOS | 8426074600 |
Professional Enrollment ID | I20051017001036 |
Full Name | Matthew P Fain |
Organization Legal Name | PHASE 1 PHYSICAL THERAPY PS |
Address |
6066 Hwy 291 Nine Mile Falls WA 99026-5008 |
Phone Number | 5094655663 |
Gender | M |
Credential | PT |
Medical School | TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE |
Graduation Year | 2005 |
Primary Specialty | PHYSICAL THERAPY |
Group Practice PAC ID | 2860595071 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
6066 Hwy 291, Nine Mile Falls, WA 99026-5008 | 5094655663 | PHASE 1 PHYSICAL THERAPY PS |
Organization Legal Name | PHASE 1 PHYSICAL THERAPY PS |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Joel T San Nicolas | Physical Therapy | Phase 1 Physical Therapy Ps | 6066 Hwy 291, Nine Mile Falls, WA 99026-5008 |
Street Address |
6066 HWY 291 |
City | NINE MILE FALLS |
State | WA |
Zip | 99026-5008 |
Name | Specialty | Organization | Address |
---|---|---|---|
Joel T San Nicolas | Physical Therapy | Phase 1 Physical Therapy Ps | 6066 Hwy 291, Nine Mile Falls, WA 99026-5008 |
Name | Specialty | Organization | Address |
---|---|---|---|
Hyojin K Meadows | Nurse Practitioner | New Health Programs Association | 5952 Blackstone Way, Nine Mile Falls, WA 99026-4900 |
Maja Nmi Zugec | Internal Medicine | New Health Programs Association | 5952 Blackstone Way, Nine Mile Falls, WA 99026-4900 |
Janice M Linehan | Nurse Practitioner | New Health Programs Association | 5952 Blackstone Way, Nine Mile Falls, WA 99026-4900 |
Robby C Riddle | Family Medicine | New Health Programs Association | 5952 Blackstone Way, Nine Mile Falls, WA 99026-4900 |
William A Hamilton | Physical Therapy | Apex Physical Therapy Pllc | 5919 F Hwy 291, Suite 6, Nine Mile Falls, WA 99026-9007 |
Melinda A Sauvage | Chiropractic | 5978 Hwy 291, Suite 2, Nine Mile Falls, WA 99026-9556 |
City | NINE MILE FALLS |
Zip Code | 99026 |
Specialty | PHYSICAL THERAPY |
City + Specialty | NINE MILE FALLS + PHYSICAL THERAPY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.