MR. SHANE MICHAEL PETERSON


Address: 3300 19th Avenue, Forest Grove, OR 97116
Phone: 5033577119

MR. SHANE MICHAEL PETERSON (NPI# 1336445535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336445535
Entity Type Individual
Full Name MR. SHANE MICHAEL PETERSON
Credential D.P.T.
Practice Address 3300 19th Avenue
Forest Grove
OR 97116
Mailing Address #560 Se International Way
Ste. 100
Milwaukie
OR 97222
Practice Telephone 5033577119
Practice Fax Number 5039922097
Mailing Telephone 9712065200
Mailing Fax Number 9712065203
Enumeration Date 2011-02-04
Last Update Date 2011-02-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225100000X Physical Therapist 06407 OR Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers SHANE PETERSON

NPI Name Taxonomy Address Enumeration
1609439066 Shane Stean Peterson Student in an Organized Health Care Education/Training Program 80 Seymour St, Hartford, CT 06106-3315 2019-04-20
1881919918 Shane Ember Peterson Emergency Medicine 890 Oak St Se, Salem, OR 97301-3905 2010-03-31
1194749333 Shane C Peterson Chiropractor 2303 Schneider Ave Se, Suite 150, Menomonie, WI 54751-7005 2006-07-27

Office Location

Street Address 3300 19TH AVENUE
City FOREST GROVE
State OR
Zip Code 97116

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780220988 Jenny Park Social Worker 2023 Hawthorne Street, Building C, Forest Grove, OR 97116 2019-11-22
1447742077 Kimberly K Sabin Doula 1239 Goff Rd, Forest Grove, OR 97116 2018-05-30
1891205266 Sonam Narayan Optometrist 2221 Pacific Avenue, Forest Grove, OR 97116 2017-10-11
1013260181 Sharon Louise Benjamin Nurse Practitioner 2724 Harvest Ct, Forest Grove, OR 97116 2012-10-25
1023324415 Kara Marie Cooper Registered Nurse 2221 Oak St, Forest Grove, OR 97116 2010-08-24
1811229792 Rachel Lucinda Erin Dilly Speech-Language Pathologist 3300 19th Ave., Forest Grove, OR 97116 2010-02-03
1720286339 Thuymai Anna Fee Physical Therapist Custom Care Physical Therapy, 4150 Pacific Ave. #100, Forest Grove, OR 97116 2007-07-05
1629102454 Lois Elizabeth Yevdalcia Dimick Massage Therapist 2004 Main St, Suite 204, Forest Grove, OR 97116 2007-03-15
1023159936 Ninette Kay Foster Contractor 2329 Pacific Ave., Forest Grove, OR 97116 2007-02-12
1063573970 James D Surface Physical Therapist 1909 Mountain View Ln #300, Forest Grove, OR 97116 2006-12-13
Find all providers in zip 97116

Taxonomy Information

Taxonomy Code 225100000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Physical Therapist

Taxonomy Definition

(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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841681491 Eric Falquist Physical Therapist 2005 Elm St Ste 200, Forest Grove, OR 97116-2781 2015-02-17
1518209188 Colleen Stacy Wesel Physical Therapist 4150 Pacific Ave Ste 100, Forest Grove, OR 97116-2786 2013-03-21
1033453204 Cheryl Lee Fletcher Physical Therapist 1006 Watercrest Rd, Forest Grove, OR 97116-1154 2012-11-12
1679794747 Maureen D Symes Physical Therapist 1905 Mtn Vw Ln Ste 400, Forest Grove, OR 97116-2264 2007-05-02
1417171414 Celine Martha Mccarthy Physical Therapist 3331 Pacific Ave, Forest Grove, OR 97116-1914 2007-04-12
1235287616 Rickard L Jones Physical Therapist 2726 19th Ave, Forest Grove, OR 97116-2623 2007-01-08
1063573970 James D Surface Physical Therapist 1909 Mountain View Ln #300, Forest Grove, OR 97116 2006-12-13
1043231954 Diana Kay Lubarsky Physical Therapist 2333 Pacific Avenue, Tuality Healthcare Forest Grove Shopping Center, Forest Grove, OR 97116 2006-07-23
1477539765 Therapeutic Associates Inc Physical Therapist 2005 Elm St, Ste 200, Forest Grove, OR 97116-2518 2005-12-19
1649253592 Robert William Fleming Physical Therapist 4150 Pacific Avenue, Suite 100, Forest Grove, OR 97116-2786 2005-11-23
Find all providers in FOREST GROVE

Competitor

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City FOREST GROVE
Zip Code 97116

Improve Information

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Dataset Information

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.

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