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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225100000X | Physical Therapist | 06407 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
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 |
Street Address |
3300 19TH AVENUE |
City | FOREST GROVE |
State | OR |
Zip Code | 97116 |
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 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 |
---|---|---|---|---|
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 |
City | FOREST GROVE |
Zip Code | 97116 |
Please comment or provide details below to improve the information on MR. SHANE MICHAEL PETERSON.
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.