PREMERE REHAB LLC (NPI# 1649578956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649578956 |
| Entity Type | Organization |
| Organization Name | PREMERE REHAB LLC |
| Other Organization Name | SANTE OF MESA |
| Practice Address |
5358 E Baseline Road Mesa AZ 85206 |
| Mailing Address |
25117 Sw Parkway Ave Suite D Wilsonville OR 97070-9697 |
| Practice Telephone | 9712242037 |
| Mailing Telephone | 9712242037 |
| Mailing Fax Number | 8663983372 |
| Enumeration Date | 2011-03-10 |
| Last Update Date | 2012-02-08 |
| Authorized Official Name | LAURA CANTRELL (DIRECTOR OF OUTPATIENT) |
| Authorized Official Telephone | 3609018111 |
| 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 |
| Other Name | Type Code |
|---|---|
| Sante of Mesa | Doing Business As Name - Organization |
| 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 |
5358 E BASELINE ROAD |
| City | MESA |
| State | AZ |
| Zip Code | 85206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003108762 | Anda Michelle Vaughn | Physical Therapist | 5358 E Baseline Road, Mesa, AZ 85206 | 2011-05-12 |
| 1912297813 | Lisa Ann Oregan | Physical Therapist | 5358 E Baseline Road, Mesa, AZ 85206 | 2011-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693062 | Inner Balance Counseling LLC | Counselor | 4111 E Auto Valley Drive, Suite 101, Mesa, AZ 85206 | 2020-09-14 |
| 1356978969 | Choices 4 Change Counseling and Coaching LLC | Social Worker | 3707 E Southern Ave., Suite 2027, Mesa, AZ 85206 | 2020-03-24 |
| 1023651288 | Jason Mcclure | Hearing Instrument Specialist | 5540 E Broadway Rd., Mesa, AZ 85206 | 2019-10-21 |
| 1255995361 | Vhs of Phoenix Inc | General Acute Care Hospital | 5750 E. Baseline Rd., Mesa, AZ 85206 | 2019-04-24 |
| 1932682184 | Adam Fishel Frose | Psychologist | 4555 E Inverness Ave Ste 112, Mesa, AZ 85206 | 2018-09-13 |
| 1376024737 | Robyn Kathleen Hall | Psychologist | 4115 East Valley Auto Drive, Suite 208, Mesa, AZ 85206 | 2018-08-23 |
| 1790264984 | Perspective Health, LLC | Clinic/Center | 1959 S. Power Rd, Suite 103, #206, Mesa, AZ 85206 | 2018-08-09 |
| 1033605159 | Rebecca Ann Maro | Nurse Practitioner | 6750 E Baywood Ave Ste 502, Mesa, AZ 85206 | 2018-07-02 |
| 1982195624 | Spark Performance and Physiotherapy | Clinic/Center | 6056 East Basline Road, Suite 147, Mesa, AZ 85206 | 2018-05-29 |
| 1336645993 | Ashley Wright | Audiologist-Hearing Aid Fitter | 1423 S Higley Rd Ste 119, Mesa, AZ 85206 | 2018-04-03 |
| Find all providers in zip 85206 | ||||
| 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 |
|---|---|---|---|---|
| 1871107540 | Kaleigh Sullivan | Physical Therapist | 2225 W Southern Ave Ste A, Mesa, AZ 85202-4716 | 2020-09-01 |
| 1912530171 | Stephanie Waddell | Physical Therapist | 2651 E Nora St, Mesa, AZ 85213-1569 | 2020-02-17 |
| 1295365146 | Monika Pathak | Physical Therapist | 1917 S Signal Butte Rd Ste B106, Mesa, AZ 85209-2602 | 2020-01-20 |
| 1952949927 | Laura Beels | Physical Therapist | 6824 E Brown Rd Ste 102, Mesa, AZ 85207-3703 | 2019-12-20 |
| 1700424421 | Tara C Pai | Physical Therapist | 1950 S Country Club Dr Ste 103, Mesa, AZ 85210-6044 | 2019-12-12 |
| 1780227512 | Mindee Oliver Saulsby | Physical Therapist | 6149 E Sierra Morena St, Mesa, AZ 85215-7764 | 2019-10-24 |
| 1942841051 | Emily Johnson | Physical Therapist | 2225 W Southern Ave Unit B, Mesa, AZ 85202-4716 | 2019-10-01 |
| 1609423730 | Ryan James Zupko | Physical Therapist | 1941 W Guadalupe Rd Ste 108, Mesa, AZ 85202-7483 | 2019-08-22 |
| 1265088181 | Paulina Kozupa | Physical Therapist | 5151 E Broadway Rd Ste 102, Mesa, AZ 85206-1346 | 2019-08-15 |
| 1053964981 | Tyler Berry | Physical Therapist | 10039 E Tamery Ave, Mesa, AZ 85212-9592 | 2019-07-19 |
| Find all providers in MESA | ||||
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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.