ACTIVE EDGE PHYSICAL THERAPY & SPORTS MEDICINE (NPI# 1174972053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174972053 |
| Entity Type | Organization |
| Organization Name | ACTIVE EDGE PHYSICAL THERAPY & SPORTS MEDICINE |
| Practice Address |
2020 8th Ave Suite D West Linn OR 97068-4657 |
| Practice Telephone | 5033875449 |
| Mailing Telephone | 5033875449 |
| Enumeration Date | 2016-06-10 |
| Last Update Date | 2016-06-10 |
| Authorized Official Name | DAN MORLAN (PHYSICAL THERAPIST) |
| Authorized Official Telephone | 5033875449 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 61684 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | ACTIVE EDGE PHYSICAL THERAPY & SPORTS MEDICINE P.C. | 2020 8th Avenue, Suite D, West Linn, OR 97068 |
| Street Address |
2020 8TH AVE SUITE D |
| City | WEST LINN |
| State | OR |
| Zip Code | 97068-4657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124075791 | Gregory Gullo | Anesthesiology | 2020 8th Ave, Suite 200, West Linn, OR 97068-4657 | 2006-05-28 |
| 1972014967 | Gina Briana Meyer | Massage Therapist | 2020 8th Ave, West Linn, OR 97068-4657 | 2017-10-17 |
| 1750890414 | Ginabfit | Massage Therapist | 2020 8th Ave, West Linn, OR 97068-4657 | 2017-09-26 |
| 1043769227 | West Linn Vision Center Inc | Optometrist | 2020 8th Ave, Suite A, West Linn, OR 97068-4657 | 2016-09-28 |
| 1851741227 | Lance Jordan Nelson | Physical Therapist | 2020 8th Ave, Suite D, West Linn, OR 97068-4657 | 2016-06-16 |
| 1346607363 | Pediatric Dentistry of West Linn | Dentist | 2020 8th Ave, Suite #121, West Linn, OR 97068-4657 | 2016-01-21 |
| 1407236177 | Advanced Toxicology,llc | Clinical Medical Laboratory | 2020 8th Ave, Suite 221, West Linn, OR 97068-4657 | 2015-06-08 |
| 1285011403 | Golden Toxicology,llc | Clinical Medical Laboratory | 2020 8th Ave, Suite 218, West Linn, OR 97068-4657 | 2015-04-27 |
| 1376941427 | Lauren Elizabeth Koch | Physical Therapist | 2020 8th Ave, Suite D, West Linn, OR 97068-4657 | 2014-12-05 |
| 1396140349 | Rebecca Anne Feuerherd | Specialist/Technologist | 2020 8th Ave, Suite D, West Linn, OR 97068-4657 | 2014-10-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023678224 | Bethany Joy Bivin | Registered Nurse | 2020 8th Ave Ste 230, West Linn, OR 97068 | 2019-06-19 |
| 1932612777 | Portland Dental Works, LLC | Dentist | 1750 Mckillican, West Linn, OR 97068 | 2017-11-15 |
| 1316460702 | Cameron Johnson Dc LLC | Chiropractor | 21400 Salamo Rd, West Linn, OR 97068 | 2017-07-18 |
| 1376913301 | Genesis Medical Concepts, LLC | Durable Medical Equipment & Medical Supplies | 2020 8th Ave Ste 222, West Linn, OR 97068 | 2015-10-02 |
| 1780052977 | Amanda Carole Tipton | Chiropractor | 21860 Willamette Drive, West Linn, OR 97068 | 2015-09-04 |
| 1457766859 | Eyedeology, Inc | Optometrist | 5656 Hood St. Ste 107, West Linn, OR 97068 | 2014-06-24 |
| 1740694660 | Ariana Bissinger | Nurse Practitioner | 1148 Rosemont Rd, West Linn, OR 97068 | 2014-06-18 |
| 1154606887 | Heather Marie Ellison | Massage Therapist | 22000 Willamette Dr., #107, West Linn, OR 97068 | 2011-10-13 |
| 1336432616 | Lisa Grage | Dental Hygienist | 3551 Coeur D'alene Dr., West Linn, OR 97068 | 2011-05-19 |
| 1316240583 | David Robert Gleave | Psychologist | 1800 Blankenship Rd Ste 200, West Linn, OR 97068 | 2010-12-10 |
| Find all providers in zip 97068 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467018739 | Activeedge Tualatin, LLP | Physical Therapist | 19150 Sw 90th Avenue, Suite 200, West Linn, OR 97062 | 2019-05-13 |
| 1467807594 | Barbara F Sevde | Physical Therapist | 19430 Old River Drive, West Linn, OR 97068-1533 | 2016-04-26 |
| 1184003352 | Rachel Wilkinson | Physical Therapist | 2020 8th Ave Ste D, West Linn, OR 97068-4657 | 2015-05-21 |
| 1912204462 | Jason Andrew Christensen | Physical Therapist | 1750 Blankenship Road, Suite 160, West Linn, OR 97068-5332 | 2011-02-18 |
| 1164732343 | Michael Anthony Crawford | Physical Therapist | 22922 W Bluff Dr, West Linn, OR 97068-8257 | 2010-10-20 |
| 1831312818 | Advance Sports and Spine Therapy, LLC | Physical Therapist | 1554 Garden St # 103, West Linn, OR 97068-3278 | 2007-04-10 |
| 1881744761 | Colin Hoobler | Physical Therapist | 1969 Willamette Falls Dr Ste 100, West Linn, OR 97068-4660 | 2007-01-11 |
| 1326026758 | Jeffrey Daniel Cox | Physical Therapist | 1554 Garden St Ste 103, West Linn, OR 97068-3278 | 2006-01-05 |
| 1447816715 | William Walters | Physical Therapist | 19129 Willamette Dr, West Linn, OR 97068-2019 | 2019-05-13 |
| 1326529793 | Katelyn Schriock | Physical Therapist | 1554 Garden St Ste 103, West Linn, OR 97068-3278 | 2018-08-23 |
| Find all providers in WEST LINN | ||||
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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.