SW REHAB ASSOCIATES LLC (NPI# 1477733590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477733590 |
| Entity Type | Organization |
| Organization Name | SW REHAB ASSOCIATES LLC |
| Practice Address |
10305 Sw Park Way Suite 200 Portland OR 97225-5028 |
| Mailing Address |
10500 Sw Greenburg Rd Suite 200 Portland OR 97223-1406 |
| Practice Telephone | 5036849698 |
| Enumeration Date | 2007-11-06 |
| Last Update Date | 2007-11-06 |
| Authorized Official Name | JEFFREY K TUNICK (MEMBER) |
| Authorized Official Telephone | 5036849698 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Street Address |
10305 SW PARK WAY SUITE 200 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97225-5028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063418333 | Vladimir B. Fiks | Pain Medicine | 10305 Sw Park Way, Ste 300, Portland, OR 97225-5033 | 2005-06-22 |
| 1982077335 | Synergy Spine Therapy Inc | Clinic/Center | 10305 Sw Park Way, Ste. 201, Portland, OR 97225-5011 | 2015-11-06 |
| 1073853974 | Parkway Toxicology LLC | Clinical Medical Laboratory | 10305 Sw Park Way, Ste 202, Portland, OR 97225-5033 | 2013-03-01 |
| 1467773663 | Advanced Pain Management Center | Durable Medical Equipment & Medical Supplies | 10305 Sw Park Way, Ste 300, Portland, OR 97225-5028 | 2010-06-22 |
| 1063743748 | Brian James Kitzerow | Physical Therapist | 10305 Sw Park Way, #300, Portland, OR 97225-5028 | 2010-01-20 |
| 1952430944 | Emily Ann Celner | Specialist/Technologist | 10305 Sw Park Way, 300, Portland, OR 97225-5011 | 2007-03-05 |
| 1841274362 | Lee Rourke O'connor | Physical Therapist | 10305 Sw Park Way, Portland, OR 97225-5011 | 2005-11-30 |
| 1578563086 | Neal James Rendleman | Internal Medicine | 10305 Sw Park Way, Portland, OR 97225 | 2005-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508425034 | Gabrielle Gonzales | Behavior Technician | 1675 Sw Marlow Ave, Suite 200, Portland, OR 97225 | 2019-06-08 |
| 1558844555 | Tate Roseberry | Behavior Technician | 1675 Sw Marlow Avenue, Suite 200, Portland, OR 97225 | 2018-09-14 |
| 1982186300 | Dean Alan Hopkins | Registered Nurse | 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225 | 2018-09-01 |
| 1316449168 | Surgery Center At St. Vincent, LLC | Clinic/Center | 9135 Sw Barnes Rd Ste 161, Portland, OR 97225 | 2018-03-07 |
| 1730606716 | Meghan Louise Lacy | Pediatrics | 11790 Sw Barnes Rd, Blg. A, Suite 140, Portland, OR 97225 | 2017-08-29 |
| 1841733433 | Tia Pugh | Occupational Therapist | 9155 S.w. Barnes Road, East Pavilion, Portland, OR 97225 | 2016-11-30 |
| 1295185585 | Stephanie Lynn Hart | Nurse Practitioner | 9155 Sw Barnes Rd Ste 240, Portland, OR 97225 | 2016-06-16 |
| 1962866244 | Bejian Shamloo | Chiropractor | 10200 Sw Eastridge St., Suite 235, Portland, OR 97225 | 2016-04-12 |
| 1992162630 | Robert Joseph Yoder | Psychologist | 9045 Barnes Rd, Portland, OR 97225 | 2016-01-26 |
| 1316303951 | Katie Herold | Chiropractor | 9315 Sw Morrison St, Portland, OR 97225 | 2016-01-12 |
| Find all providers in zip 97225 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841898632 | Spine Strong Physical Therapy and Scoliosis Rehabilitation | Clinic/Center | 251 Danforth St Unit 1, Portland, ME 04102-3705 | 2020-10-13 |
| 1356969976 | Readygo Physical Therapy LLC | Clinic/Center | 904 Se 69th Ave, Portland, OR 97215-2120 | 2020-07-09 |
| 1144865841 | St. Johns Physical Therapy | Clinic/Center | 8835 N Bradford St, Portland, OR 97203-2869 | 2019-11-18 |
| 1215584446 | Patrick Franko Pt LLC | Clinic/Center | 2331 Ne 43rd Ave, Portland, OR 97213-1332 | 2019-08-22 |
| 1487112553 | Tabor Pediatric Physical Therapy LLC | Clinic/Center | 2224 Se 53rd Ave, Portland, OR 97215-3916 | 2019-03-07 |
| 1629542675 | Helen Quirk Ms Physical Therapy, LLC | Clinic/Center | 10200 Sw Eastridge St Ste 115, Portland, OR 97225-5031 | 2019-01-13 |
| 1063996585 | Physioflow | Clinic/Center | 7324 Sw Virginia Ave, Portland, OR 97219-3039 | 2018-09-20 |
| 1477084549 | Physio Pdx LLC | Clinic/Center | 2250 Nw Flanders St Ste G1, Portland, OR 97210-3475 | 2017-03-21 |
| 1417319781 | Body Mechanix | Clinic/Center | 530 Nw 23rd Ave Ste 116, Portland, OR 97210-3287 | 2016-03-24 |
| 1164899373 | Root & Branch Physical Therapy | Clinic/Center | 2232 Nw Pettygrove St, Ste 110, Portland, OR 97210 | 2015-08-24 |
| Find all providers in PORTLAND | ||||
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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.