James Richard Niebergall (NPI# 1417908294, PAC ID# 2860409703) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1417908294 |
| PAC ID by PECOS | 2860409703 |
| Professional Enrollment ID | I20060503000518 |
| Full Name | James Richard Niebergall |
| Organization Legal Name | COUNTRYSIDE PHYSICAL THERAPY INC |
| Address |
372 S Broadway Estacada OR 97023-7000 |
| Phone Number | 5036305314 |
| Gender | M |
| Credential | PT |
| Graduation Year | 1997 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 1153427067 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 372 S Broadway, Estacada, OR 97023-7000 | 5036305314 | COUNTRYSIDE PHYSICAL THERAPY INC |
| Organization Legal Name | COUNTRYSIDE PHYSICAL THERAPY INC |
| Physicians | 1 |
| Street Address |
372 S BROADWAY |
| City | ESTACADA |
| State | OR |
| Zip | 97023-7000 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian T Sundahl | Physical Therapy | 372 S Broadway, Estacada, OR 97023-7000 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jing Wei | Nurse Practitioner | Northwest Medical Foundation of Tillamook | 200 Se Hwy 224, Suite 100, Estacada, OR 97023-7022 |
| Angie Pagano | Family Medicine | Northwest Medical Foundation of Tillamook | 200 Se Hwy 224, Estacada, OR 97023-7022 |
| Alan E Nolasco | Family Medicine | Northwest Medical Foundation of Tillamook | 200 Se Hwy 224, Suite 100, Estacada, OR 97023-7022 |
| Morio Mcwilliams | Physician Assistant | Northwest Medical Foundation of Tillamook | 200 Se Hwy 224, Suite 100, Estacada, OR 97023-7022 |
| Benjamin F Hearty | Physician Assistant | Northwest Medical Foundation of Tillamook | 200 Se Hwy 224, Suite 100, Estacada, OR 97023-7022 |
| Chris Johnson | Chiropractic | Oregon Trail Chiropractic LLC | 437 Ne Main St, Estacada, OR 97023-8528 |
| Candace D Hamel | Optometry | Molalla Vision Clinic PC | 405 Ne Main St, Estacada, OR 97023-8528 |
| Andrew D White | Physician Assistant | Orchid Oakridge Clinic PC | 535 Ne 6th Ave, Estacada, OR 97023-9312 |
| Micah S Bicker | Physician Assistant | Orchid Oakridge Clinic PC | 535 Ne 6th Ave, Estacada, OR 97023-9312 |
| Laura Stephanie Montez | Physician Assistant | Orchid Oakridge Clinic PC | 535 Ne 6th Ave, Estacada, OR 97023-9312 |
| Find all physicians in zip 97023 | |||
| City | ESTACADA |
| Zip Code | 97023 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | ESTACADA + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on James Richard Niebergall.
| 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.