WESTERN RESERVE REHAB GROUP LLC (NPI# 1346429644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346429644 |
| Entity Type | Organization |
| Organization Name | WESTERN RESERVE REHAB GROUP LLC |
| Practice Address |
2561 Center St Ne Salem OR 97301-4600 |
| Mailing Address |
4628 Sw 49th Ave Portland OR 97221-3019 |
| Practice Telephone | 5035615976 |
| Practice Fax Number | 5035614912 |
| Mailing Telephone | 2167026944 |
| Mailing Fax Number | 5034777338 |
| Enumeration Date | 2007-11-02 |
| Last Update Date | 2010-03-05 |
| Authorized Official Name | MARIA A ARMSTRONG MURPHY (MANAGING MEMBER) |
| Authorized Official Telephone | 2167026944 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | WESTERN RESERVE REHAB GROUP LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | MD27171 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 006277 | 05 |
| Street Address |
2561 CENTER ST NE |
| City | SALEM |
| State | OR |
| Zip Code | 97301-4600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841358751 | Dawn L Gray | Dietitian, Registered | 2561 Center St Ne, Salem Hospital Diabetes and Nutrition Education, Salem, OR 97301-4600 | 2006-12-04 |
| 1720257389 | John Vincent Fisher | Occupational Therapist | 2561 Center St Ne, Salem, OR 97301-4600 | 2008-02-27 |
| 1316136088 | Salem Rehabilitation Associates, Inc. | Physical Medicine & Rehabilitation | 2561 Center St Ne, Salem, OR 97301-4600 | 2007-10-18 |
| 1275680449 | Sandra Kay Frank | Dietitian, Registered | 2561 Center St Ne, Salem, OR 97301-4600 | 2007-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205450970 | Jehan Seals | Behavior Technician | 3400 State St Set G750, Salem, OR 97301 | 2020-05-29 |
| 1093335929 | Sterling Recovery, LLC | Dietitian, Registered | 3758 Amber St Ne #105, Salem, OR 97301 | 2020-04-21 |
| 1760018360 | Riverfront Mental Health LLC | Counselor | 338 State St, Suite 985, Salem, OR 97301 | 2020-03-16 |
| 1871126888 | Amity Beth Haddon Maxwell | Social Worker | Oregon State Hospital, 2600 Center St Ne, Salem, OR 97301 | 2020-02-18 |
| 1861042632 | Brenda Grizelda Vargas | Behavioral Analyst | 3400 State Ste Ste G750, Salem, OR 97301 | 2019-09-13 |
| 1588213177 | Natalie Stone | Registered Nurse | 2045 Siverton Rd Ne, Salem, OR 97301 | 2019-09-06 |
| 1588228720 | Jeramy Disenso | Counselor | 270 Cottage St Ne, Salem, OR 97301 | 2019-04-23 |
| 1801353297 | Gwendolyn Kersey | Registered Nurse | 2600 Center St Ne Oregon State Hospital, Salem, OR 97301 | 2019-02-21 |
| 1841769114 | Spine Clinic PC | Massage Therapist | 1281 Lancaster Drive Ne, Salem, OR 97301 | 2018-11-16 |
| 1013482132 | Kellie Linn Hansen | Physical Therapist | 4049 Market St Se, Salem, OR 97301 | 2018-10-04 |
| Find all providers in zip 97301 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427051259 | Lee Eugene Vranna | Rehabilitation Practitioner | 890 Oak St Se, Salem, OR 97301 | 2005-05-24 |
| 1174146948 | Shelly R Carlson | Rehabilitation Practitioner | 3723 Fairview Industrial Dr Se Ste 170, Salem, OR 97302-1174 | 2020-05-27 |
| 1902206055 | Marissa Ann Senger | Rehabilitation Practitioner | 3445 Boone Rd Se, Salem, OR 97317-9336 | 2014-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023616422 | Joseph Gorecki | Rehabilitation Practitioner | 3303 S Bond Ave Bldg 115th, Portland, OR 97239-4501 | 2020-10-16 |
| 1992056857 | Beth W. Mantis | Rehabilitation Practitioner | 29544 Se Heiple Rd, Eagle Creek, OR 97022-9664 | 2012-10-01 |
| 1144556861 | Du Nguyen | Rehabilitation Practitioner | 283 Nw 182nd Ave, Beaverton, OR 97006-3413 | 2009-10-30 |
| 1235385139 | Maureen Benedict-lee | Rehabilitation Practitioner | 1636 Se Taylor St, Apt. 5, Portland, OR 97214-2678 | 2008-08-11 |
| 1124288840 | Donita Zoe Diamata | Rehabilitation Practitioner | 10150 Se Ankeny St Ste 201a, Portland, OR 97216-2369 | 2008-06-16 |
| 1518923200 | Paulette Ann Richards | Rehabilitation Practitioner | 24820 Paradise Drive, Junction City, OR 97448 | 2006-04-22 |
| 1275131682 | Suzanne Lynn Groth | Rehabilitation Practitioner | 3303 S Bond Ave, Portland, OR 97239-4501 | 2020-10-16 |
| 1699290072 | Jennifer Lynn Habada | Rehabilitation Practitioner | 4317 Ne Tillamook St, Portland, OR 97213-1315 | 2017-08-07 |
| 1013443548 | Amanda Garrison | Rehabilitation Practitioner | 18218 Sw Horse Tale Dr, Beaverton, OR 97007-9789 | 2017-05-03 |
| 1700204658 | Nick Benas | Rehabilitation Practitioner | 2120 Exchange St, Suite 301, Astoria, OR 97103-3365 | 2014-03-28 |
| 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.