PREMERE REHAB, LLC (NPI# 1255673794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255673794 |
| Entity Type | Organization |
| Organization Name | PREMERE REHAB, LLC |
| Practice Address |
3607 228th Ave Se Issaquah WA 98029-9206 |
| Mailing Address |
25117 Sw Parkway Ave Suite D Wilsonville OR 97070-9697 |
| Practice Telephone | 4253139100 |
| Mailing Telephone | 9712242037 |
| Enumeration Date | 2013-03-22 |
| Last Update Date | 2013-05-16 |
| Authorized Official Name | LAURA CANTRELL (DIRECTOR OF OUTPATIENT) |
| Authorized Official Telephone | 3609018111 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982114666 | Premere Rehab, LLC | Occupational Therapist | 1410 Ne Cleveland Ave, Gresham, OR 97030-4283 | 2017-10-06 |
| 1013332576 | Premere Rehab, LLC | Occupational Therapist | 2200 E Madison St, Seattle, WA 98112-5337 | 2014-02-20 |
| 1396087763 | Premere Rehab, LLC | Occupational Therapist | 1380 Charles Dr, Longmont, CO 80503-2354 | 2013-03-22 |
| 1538401070 | Premere Rehab, LLC | Occupational Therapist | 3411 Boone Rd Se, Salem, OR 97317-9336 | 2013-03-22 |
| 1689916256 | Premere Rehab, LLC | Occupational Therapist | 695 Orchard Heights Rd Nw, Salem, OR 97304-3100 | 2013-03-21 |
| 1730420795 | Premere Rehab, LLC | Occupational Therapist | 223 E Bakerview Rd, Bellingham, WA 98226-7757 | 2013-03-14 |
| 1700127636 | Premere Rehab, LLC | Occupational Therapist | 10315 E Riverside Dr, Bothell, WA 98011-3781 | 2013-03-01 |
| 1437669116 | Premere Rehab, LLC | Occupational Therapist | 15727 Ne Russell St, Portland, OR 97230-8222 | 2017-10-06 |
| 1104269125 | Premere Rehab, LLC | Occupational Therapist | 1100 N 6th Ave, Hastings, NE 68901-4106 | 2013-04-09 |
| 1225371545 | Premere Rehab, LLC | Occupational Therapist | 2630 Lone Oak Way, Eugene, OR 97404-2547 | 2013-04-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | PREMERE REHAB, LLC | 25117 Sw Parkway Ste F, Wilsonville, OR 97070 |
| Washington State Corporations | PREMERE REHAB, LLC | 25117 Sw Parkway Ave, Suite F, Wilsonville, OR 97070-9697 |
| Oregon Corporations, Companies and Business Names | PREMERE REHAB, LLC | 25117 Sw Pkwy Ste F, Wilsonville, OR 97070 |
| Street Address |
3607 228TH AVE SE |
| City | ISSAQUAH |
| State | WA |
| Zip Code | 98029-9206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992808778 | Kristin F. Cernak | Physical Therapist | 3607 228th Ave Se, Issaquah, WA 98029-9206 | 2006-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134730161 | Katelyn Creech | Counselor | 1505 16th Lane Ne, Apt 404 Building O, Issaquah, WA 98029 | 2020-08-13 |
| 1326695438 | M Shoaib Haider Siddiqui | Dentist | Issaquah Modern Dentistry, 1416 Highlands Drie Ne, Suite 120, Issaquah, WA 98029 | 2019-08-22 |
| 1053885061 | Rose Osborne | Registered Nurse | 4580 Klahanie Dr Se #181, Sammamish, WA 98029 | 2019-01-14 |
| 1598260960 | Caryn Crosbie | Behavior Technician | 22526 Se 64th Place, Building D Suite 210, Issaquah, WA 98029 | 2018-03-28 |
| 1194110908 | May Y. Mar | Family Medicine | 5708 E. Lake Sammamish Pkwy Se, Issaquah, WA 98029 | 2015-03-30 |
| 1659765816 | Eastside Social Skills Therapy LLC | Preferred Provider Organization | 5436 232nd Ave Se, Issaquah, WA 98029 | 2015-03-26 |
| 1649513946 | Linda Scoppettone Knodel | Registered Nurse | 5303 231 Ave. Se, Issaquah, WA 98029 | 2013-04-04 |
| 1720323116 | Morley Slutsky | Preventive Medicine | 4580 Klahanie Dr. S.e.,#125, Issaquah, WA 98029 | 2012-12-11 |
| 1619248820 | Silas Dickenson Dudley | Dentist | 2520 Ne Park Dr, Suite C, Issaquah, WA 98029 | 2012-01-19 |
| 1659641678 | Cynthia J Creel | Technician/Technologist | 4580 Klahanie Dr. Se, #332, Issaquah, WA 98029 | 2012-01-06 |
| Find all providers in zip 98029 | ||||
| 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 |
|---|---|---|---|---|
| 1902412612 | Jessica Quinn | Physical Therapist | 2525 Ne Park Dr Apt C, Issaquah, WA 98029-2643 | 2020-09-17 |
| 1073093431 | Alexander Scott Fandrich | Physical Therapist | 22526 Se 64th Pl Ste 140, Issaquah, WA 98027-5368 | 2018-08-15 |
| 1578055083 | Vivian Yu-en Hsiao | Physical Therapist | 1301 4th Ave Nw Ste 300, Issaquah, WA 98027 | 2018-05-31 |
| 1831698000 | Peter James Carlson | Physical Therapist | 22500 Se 64th Place, Building G, Suite 115, Issaquah, WA 98027 | 2018-02-02 |
| 1003334871 | Kyle Brandon Mark | Physical Therapist | 510 8th Ave Ne Suite 340, Issaquah, WA 98029-5436 | 2017-08-31 |
| 1750750147 | Emily Noe | Physical Therapist | 22500 Se 64th Pl Ste 115, Issaquah, WA 98027-8128 | 2015-09-16 |
| 1447628920 | Bellevue Rehab Associates | Physical Therapist | 1740 Nw Maple St Ste 111, Issaquah, WA 98027-8127 | 2015-09-14 |
| 1487927448 | Jagruti Hambir | Physical Therapist | 1495 Nw Gilman Blvd Ste 4, Issaquah, WA 98027 | 2012-02-21 |
| 1760764435 | Angela Lynn Dokken | Physical Therapist | 710 Nw Juniper St Ste 104, Issaquah, WA 98027-2717 | 2011-09-19 |
| 1730489758 | Shannon Nicole Stone | Physical Therapist | 710 Nw Juniper St, Suite 104, Issaquah, WA 98027 | 2010-10-25 |
| Find all providers in ISSAQUAH | ||||
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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.