Provider Demographics
NPI:1972585750
Name:ZERKEL, STEVE W (PT)
Entity Type:Individual
Prefix:
First Name:STEVE
Middle Name:W
Last Name:ZERKEL
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1314 CENTER DR
Mailing Address - Street 2:STE B-513
Mailing Address - City:MEDFORD
Mailing Address - State:OR
Mailing Address - Zip Code:97501-7908
Mailing Address - Country:US
Mailing Address - Phone:541-779-6146
Mailing Address - Fax:541-734-7592
Practice Address - Street 1:2780 E BARNETT RD
Practice Address - Street 2:STE 130
Practice Address - City:MEDFORD
Practice Address - State:OR
Practice Address - Zip Code:97504-8343
Practice Address - Country:US
Practice Address - Phone:541-779-6146
Practice Address - Fax:541-734-7592
Is Sole Proprietor?:No
Enumeration Date:2005-11-16
Last Update Date:2018-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1169225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR081009-001OtherBLUECROSS BLUESHIELD
OR165084Medicaid