Ida Kolodziejczyk
Ida Kolodziejczyk is a Physical Therapist in Private Practice in Sisters, Oregon. Qualified in 2022, 4 years ago. Practices with Redbird LLC, a 21-clinician group and accepts Medicare assignment. Licensed in Oregon.
- Years since qualifying
- 4
- Licensed in
- OR
- In the registry since
- 2023
Practice location Address checks out
352 E Hood Ave Ste DSisters, OR 97759-1619
Phone: (541) 904-4427
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Medicine & Rehabilitation Physician (primary) | Taxonomy 208100000X · Licence 64740 (OR) |
|---|
Record details
| NPI number | 1982317228 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 2, 2023 |
| Last updated in NPPES | January 2, 2023 |
| Certification date | January 2, 2023 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Redbird Llc — 21 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |