OrganizationNorth Lake Physical Therapy And Rehabilitation Inc.(Kosta, Choate And Pierson Inc.)Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address1715 S Beavercreek Rd, Oregon City, OR 97045-4290(503) 636-3028(503) 657-8553PECOS EnrollmentBased on the most recent information from CMS, provider North Lake Physical Therapy And Rehabilitation Inc. does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1912275322Provider TypeOrganizationFull NameNorth Lake Physical Therapy And Rehabilitation Inc.Other NameKosta, Choate And Pierson Inc.SubpartNoEnumeration Date12/13/2011Last Updated12/13/2011Contact InformationPractice LocationPractice Address1715 S Beavercreek Rd, Oregon City, OR 97045-4290Phone(503) 636-3028Fax(503) 636-1837Mailing LocationMailing Address101 S State St, Ste 200g, Lake Oswego, OR 97034-3900Phone(503) 657-8553Fax(503) 558-0490Authorized OfficialNameChoate, Michael (President, North Lake Physical Ther)Phone(503) 636-3028Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted Issuer