PREMERE REHAB LLC (NPI# 1407191141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407191141 |
| Entity Type | Organization |
| Organization Name | PREMERE REHAB LLC |
| Practice Address |
11520 Se Sunnyside Rd Clackamas OR 97015-4306 |
| Mailing Address |
25117 Sw Parkway Ave Suite D Wilsonville OR 97070-9697 |
| Practice Telephone | 5036981613 |
| Enumeration Date | 2012-12-06 |
| Last Update Date | 2013-01-02 |
| 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 |
|---|---|---|---|---|
| 1245839547 | Premere Rehab LLC | Occupational Therapist | 1525 E Ovation Pl, Washington, UT 84780 | 2020-10-19 |
| 1356976187 | Premere Rehab LLC | Occupational Therapist | Infinity Rehab - The Springs At Lake Oswego, 3900 Kruse Way Pl, Lake Oswego, OR 97035 | 2020-03-12 |
| 1093375610 | Premere Rehab LLC | Occupational Therapist | 16872 Sw Edy Rd, Sherwood, OR 97140-9146 | 2019-06-17 |
| 1821653924 | Premere Rehab LLC | Occupational Therapist | 1415 N San Benito Dr, Gilbert, AZ 85234-2490 | 2019-05-03 |
| 1316429624 | Premere Rehab LLC | Occupational Therapist | 7600 Sandy Rock Point, Melody Living, Colorado Springs, CO 80924-5222 | 2018-09-04 |
| 1861988131 | Premere Rehab LLC | Occupational Therapist | 19160 Cottonwood Dr, Parker, CO 80138 | 2018-07-10 |
| 1750876363 | Premere Rehab LLC | Occupational Therapist | 1115 108th Ave Ne, Bellevue, WA 98004-8655 | 2018-06-26 |
| 1417486978 | Premere Rehab LLC | Occupational Therapist | 1282 Goodpasture Island Rd, Eugene, OR 97401-1755 | 2017-06-08 |
| 1477092591 | Premere Rehab LLC | Occupational Therapist | 7825 W Alameda Ave, Lakewood, CO 80226 | 2017-02-22 |
| 1962855601 | Premere Rehab LLC | Occupational Therapist | 11795 Nw Cedar Falls Dr, Portland, OR 97229-2773 | 2016-07-18 |
| Street Address |
11520 SE SUNNYSIDE RD |
| City | CLACKAMAS |
| State | OR |
| Zip Code | 97015-4306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760427488 | Mp, LLC | Assisted Living Facility | 11520 Se Sunnyside Rd, Clackamas, OR 97015-4306 | 2006-06-17 |
| 1285185348 | Katherine Tossi | Physical Therapy Assistant | 11520 Se Sunnyside Rd, Clackamas, OR 97015-4306 | 2016-10-24 |
| 1235543000 | Able Palms Home Health of Oregon, LLC | Home Health | 11520 Se Sunnyside Rd, Ste 308, Clackamas, OR 97015-4306 | 2014-06-19 |
| 1477682250 | Alison Klossner | Physical Therapist | 11520 Se Sunnyside Rd, Clackamas, OR 97015-4306 | 2007-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184103517 | Laurel Perilli | Physical Therapist | 12550 Se 93rd Ave Ste 265, Clackamas, OR 97015 | 2018-08-07 |
| 1306324538 | Kristin Connor Messing | Physical Therapist | 4805 Ne Glisan St, Prov Hall 7e06, Portland, OR 97015 | 2018-07-31 |
| 1902317266 | Darcy Jones Hamrick | Counselor | 12901 Se 97th Ave., Suite 340, Clackamas, OR 97015 | 2017-10-13 |
| 1841723384 | Manon Lavoie | Chiropractor | 17105 Se Sunnyside Rd, Suite 148, Happy Valley, OR 97015 | 2017-04-11 |
| 1235670126 | Michael G Short | Pedorthist | 10117 Se Sunnyside Rd., Ste. H, Clackamas, OR 97015 | 2017-03-13 |
| 1487100756 | Michael Joseph Peizner | Pharmacist | 16300se Evelyn Street, Clackamas, OR 97015 | 2016-08-28 |
| 1316395619 | Jennifer Elaine Walkowski | Physical Therapist | 9100 Se Sunnyside Road, Clackamas, OR 97015 | 2016-05-26 |
| 1649635384 | Brookside Dental - Milwaukie, LLC | Dentist | 9225 Se Sunnyside Rd. Ste 1, Clackamas, OR 97015 | 2015-12-23 |
| 1801216130 | Robert D. Grew Dmd, Inc. | Dentist | 10163 Se Sunnyside Road, Suite 414, Clackamas, OR 97015 | 2014-04-25 |
| 1508205410 | Valerie P Tabalno | Massage Therapist | 15661 Se 82nd Dr, Clackamas, OR 97015 | 2013-06-25 |
| Find all providers in zip 97015 | ||||
| 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 |
|---|---|---|---|---|
| 1184103517 | Laurel Perilli | Physical Therapist | 12550 Se 93rd Ave Ste 265, Clackamas, OR 97015 | 2018-08-07 |
| 1437637832 | Lisa Lynn Perreault | Physical Therapist | 9290 Se Sunnybrook Blvd Ste 230, Clackamas, OR 97015-6777 | 2018-07-30 |
| 1669920203 | Aanal A Shah | Physical Therapist | 11977 Se Sunnyside Rd, Clackamas, OR 97015-9312 | 2016-09-12 |
| 1316395619 | Jennifer Elaine Walkowski | Physical Therapist | 9100 Se Sunnyside Road, Clackamas, OR 97015 | 2016-05-26 |
| 1841501657 | Jessica Lee Crawford | Physical Therapist | 14083 Se 116th Ave, Clackamas, OR 97015-8671 | 2010-06-25 |
| 1306911300 | Brant Walter Lewis | Physical Therapist | 14851 Se 82nd Dr, Clackamas, OR 97015-7624 | 2006-11-22 |
| 1417939364 | Mark Newell Mccurdy | Physical Therapist | 12550 Se 93rd Ave, Ste 265, Clackamas, OR 97015-8796 | 2005-11-16 |
| 1265047724 | Adelia Ketchum | Physical Therapist | 9100 Se Sunnyside Rd, Clackamas, OR 97015-6772 | 2020-09-11 |
| 1073172912 | Ashlee Baltich | Physical Therapist | 9290 Se Sunnybrook Blvd Ste 230, Clackamas, OR 97015-6777 | 2019-06-12 |
| 1477031730 | Stephen Lynn Dehn | Physical Therapist | 9290 Se Sunnybrook Blvd Ste 230, Clackamas, OR 97015-6777 | 2018-07-30 |
| Find all providers in CLACKAMAS | ||||
Please comment or provide details below to improve the information on PREMERE REHAB LLC.
| 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.