PACIFIC REHABILITATION & SPORTS MEDICINE INC (NPI# 1154383321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154383321 |
| Entity Type | Organization |
| Organization Name | PACIFIC REHABILITATION & SPORTS MEDICINE INC |
| Practice Address |
215 S Bridge St Sheridan OR 97378-1807 |
| Mailing Address |
4714 Gettysburg Rd Legal Department Mechanicsburg PA 17055-4325 |
| Practice Telephone | 5038437617 |
| Mailing Telephone | 7179721100 |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2010-09-01 |
| Authorized Official Name | MICHAEL TARVIN (VICE PRESIDENT) |
| Authorized Official Telephone | 7179721100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952350688 | Pacific Rehabilitation & Sports Medicine Inc | Clinic/Center | 12500 Aurora Ave N, Ste C, Seattle, WA 98133-1518 | 2006-05-09 |
| 1053356717 | Pacific Rehabilitation & Sports Medicine Inc | Clinic/Center | 17910 Talbot Rd S, #101, Renton, WA 98055 | 2006-06-18 |
| 1144282310 | Pacific Rehabilitation & Sports Medicine Inc | Clinic/Center | 2330 Nw Flanders St, Ste 101, Portland, OR 97210-3442 | 2006-04-04 |
| Street Address |
215 S BRIDGE ST |
| City | SHERIDAN |
| State | OR |
| Zip Code | 97378-1807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124393392 | Bridge Street Physical Therapy LLC | Clinic/Center | 215 S Bridge St, Sheridan, OR 97378-1807 | 2012-03-20 |
| 1407966146 | Robert Thornburg | Physical Therapist | 215 S Bridge St, Sheridan, OR 97378-1807 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386757193 | Andrew Barnes Grasley | General Practice | 2702 Sw Ballston Road, Sheridan, OR 97378 | 2006-08-16 |
| 1902878333 | Kenneth A Kelley | Chiropractor | 639 W Main, Sheridan, OR 97378 | 2006-02-01 |
| 1790951440 | Sheridan Family Chiropractic PC | Chiropractor | 639 W Main, Sheridan, OR 97378 | 2008-05-02 |
| 1265959563 | Bettina Tamice Moore | Counselor | 901 W Main St, Sheridan, OR 97378-1003 | 2017-08-28 |
| 1467837344 | Cody Charron | Dentist | 411 W Main St, Sheridan, OR 97378-1117 | 2015-07-21 |
| 1801918255 | Kenneth G Mize Dmdpc | Dentist | 411 W Main St, Sheridan, OR 97378-1117 | 2007-04-05 |
| 1255338638 | Kenneth G Mize | Dentist | 411 W Main St, Sheridan, OR 97378-1117 | 2005-06-30 |
| 1689047680 | Thunderstruck Farms Inc. | Chiropractor | 639 W Main St, Sheridan, OR 97378-1121 | 2015-11-12 |
| 1013390939 | Tina Hargrove | Chiropractor | 639 W Main St, Sheridan, OR 97378-1121 | 2015-07-09 |
| 1598951634 | Julie Lynn Detamore | Acupuncturist | 552 Nw Evans St, Sheridan, OR 97378-1208 | 2007-09-21 |
| Find all providers in zip 97378 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487280855 | Rehabcare Group East, LLC | Clinic/Center | 7320 Sw Hunziker Rd Ste 205, Tigard, OR 97223-2301 | 2020-03-18 |
| 1598130965 | Sarah Mcdonnell LLC | Clinic/Center | 512 Cascade Ave, Suite 100, Hood River, OR 97031-2126 | 2015-12-10 |
| 1043601602 | Infinity Rehab | Clinic/Center | 8750 Se 155th Ave, 18, Happy Valley, OR 97086-5533 | 2015-02-17 |
| 1922354703 | Oregon Housing and Associated Services, Inc. | Clinic/Center | 2582 19th St Se, Salem, OR 97302-1501 | 2012-07-30 |
| 1174857577 | Creative Therapy Connections, LLC | Clinic/Center | 5232 N Interstate Avenue, Portland, OR 97217 | 2009-10-01 |
| 1497979785 | Southwest Physical Therapy | Clinic/Center | 29286 Ellensburg, Gold Beach, OR 97444 | 2007-04-11 |
| 1568685766 | Southwest Physical Therapy LLC | Clinic/Center | 279 N Central St, Coquille, OR 97423-1241 | 2007-04-10 |
| 1043272214 | Select Physical Therapy Orthopedic Services Inc | Clinic/Center | 24947 Highway 126, Suite D, Veneta, OR 97487 | 2006-04-04 |
| 1821096033 | Therapeutic Laser Center | Clinic/Center | 115 W Stewart Ave, Medford, OR 97501-3607 | 2005-07-12 |
| 1255843355 | Physical Therapy Northwest Limited Partnership | Clinic/Center | 685 36th Ave Ne, Salem, OR 97301-4741 | 2017-10-30 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.