PREMERE REHAB, LLC (NPI# 1417299959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417299959 |
| Entity Type | Organization |
| Organization Name | PREMERE REHAB, LLC |
| Practice Address |
11333 3rd Pl W Everett WA 98204-4948 |
| Mailing Address |
25117 Sw Parkway Ave Suite D Wilsonville OR 97070-9697 |
| Practice Telephone | 4253470372 |
| Mailing Telephone | 9712242037 |
| Enumeration Date | 2013-03-22 |
| Last Update Date | 2013-03-22 |
| 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 |
11333 3RD PL W |
| City | EVERETT |
| State | WA |
| Zip Code | 98204-4948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720113608 | Emeritus Corporation | Assisted Living Facility | 11333 3rd Pl W, Everett, WA 98204-4948 | 2007-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588262869 | Samuel Lin, Nd, Pllc | Naturopath | 13410 Hwy 99, Ste 202, Everett, WA 98204 | 2020-10-09 |
| 1003458225 | Svetlana A Gayevskaya | Technician | 12605 E. Gibson Rd. Unit # 87, Everett, WA 98204 | 2019-10-09 |
| 1821555921 | Kymberly Ann Shepherd | Counselor | 1011 128th St Sw, E201, Everett, WA 98204 | 2019-02-25 |
| 1609392653 | Mohammed Bayo | Nurse's Aide | 9217 4th Ave. West, Everett, WA 98204 | 2017-08-21 |
| 1962951582 | Abreham Shoangizaw | Pharmacist | 802 134th S B C, Everett, WA 98204 | 2016-09-23 |
| 1588012694 | Tammy J Laird | Counselor | 9300 Evergreen Way, Everett, WA 98204 | 2016-05-31 |
| 1083011282 | Bernadette K Stanek | Massage Therapist | 13410 Washington 99 #204, Everett, WA 98204 | 2014-12-03 |
| 1356771067 | Dixon Stopper | Hearing Instrument Specialist | 12811 8th Ave W Ste B203, Everett, WA 98204 | 2013-11-15 |
| 1427312495 | Dan Huy Nguyen | Respiratory Therapist, Registered | 1919 112th Street Southwest, Everett, WA 98204 | 2012-06-25 |
| 1942571880 | Alena A Klimenko | Specialist | 12811 8th- Ave W, Suite B-103, Everett, WA 98204 | 2012-01-24 |
| Find all providers in zip 98204 | ||||
| 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 |
|---|---|---|---|---|
| 1821659640 | Alicia Desmarais | Physical Therapist | 13020 Meridian Ave S Ste 300, Everett, WA 98208-6468 | 2019-06-24 |
| 1003374042 | Michela Anne Bodinaku | Physical Therapist | 210 Broadway Apt 103, Everett, MA 02149-2426 | 2019-03-08 |
| 1356852099 | Alice Julia Chow Bhola | Physical Therapist | Everett Bone & Joint C/o Siddharth Bhola, 1100 Pacific Ave #300, Everett, WA 98201-4261 | 2017-10-20 |
| 1053786343 | Everett Community Physical Therapy Inc. | Physical Therapist | 563 Broadway Ste 2, Everett, MA 02149-3749 | 2015-12-11 |
| 1336539428 | Theodore J. Becker | Physical Therapist | 11627 Airport Rd Ste H, Everett, WA 98204-8714 | 2015-01-28 |
| 1942602727 | Alicia Doolittle | Physical Therapist | 2000 Hewitt Ave Ste 115, Everett, WA 98201-3600 | 2014-09-23 |
| 1982011128 | James M Lee | Physical Therapist | 10821 19th Ave Se Ste 102, Everett, WA 98208 | 2014-07-21 |
| 1043625593 | Juliane Farias | Physical Therapist | 20 Bellingham Ave, Everett, MA 02149-1219 | 2014-06-24 |
| 1043642309 | Yi Xie | Physical Therapist | 7015 Morgan Rd, Everett, WA 98203-5029 | 2013-08-08 |
| 1366886335 | Patrick Lloyd Mckilligan | Physical Therapist | 3726 Broadway Ste 104, Everett, WA 98201-3787 | 2013-04-22 |
| Find all providers in EVERETT | ||||
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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.