Provider Demographics
NPI:1265459093
Name:NEMEC, ANNE (PT)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:
Last Name:NEMEC
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1928 COURT AVE
Mailing Address - Street 2:
Mailing Address - City:BAKER CITY
Mailing Address - State:OR
Mailing Address - Zip Code:97814-3445
Mailing Address - Country:US
Mailing Address - Phone:541-523-9664
Mailing Address - Fax:541-523-9665
Practice Address - Street 1:1928 COURT AVE
Practice Address - Street 2:
Practice Address - City:BAKER CITY
Practice Address - State:OR
Practice Address - Zip Code:97814-3445
Practice Address - Country:US
Practice Address - Phone:541-523-9664
Practice Address - Fax:541-523-9665
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-16
Last Update Date:2023-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR03918225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORQ47272Medicare UPIN
OR131883Medicare ID - Type Unspecified