PEDIATRIC THERAPY SERVICES INC (NPI# 1700842531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700842531 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC THERAPY SERVICES INC |
| Practice Address |
7927 Se Orient Drive Gresham OR 97080 |
| Practice Telephone | 5036630332 |
| Practice Fax Number | 5036631114 |
| Mailing Telephone | 5036630332 |
| Mailing Fax Number | 5036631114 |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. JAMI LEE PEDERSEN (BUSINESS OWNER) |
| Authorized Official Telephone | 5036630332 |
| Authorized Official Credential | DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| X | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| X | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 028207 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376514539 | Pediatric Therapy Services Inc | Clinic/Center | 150 Saint Andrews Ct, Suite 310, Mankato, MN 56001-8659 | 2006-01-27 |
| 1407834021 | Pediatric Therapy Services Inc | Speech-Language Pathologist | 1215 E Orange St, Lakeland, FL 33801 | 2006-01-04 |
| Street Address |
7927 SE ORIENT DRIVE |
| City | GRESHAM |
| State | OR |
| Zip Code | 97080 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265624738 | Mary Beth Enns | Occupational Therapist | 7927 Se Orient Drive, Gresham, OR 97080-8847 | 2007-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528428554 | Jeffrey Henry Lucero | Social Worker | 4687 Se 1st Terrace, Gresham, OR 97080 | 2016-03-03 |
| 1124371059 | Nickole Turner | Massage Therapist | 2831 Se Palmquist Rd #157, Gresham, OR 97080 | 2012-10-16 |
| 1992061048 | Russell A Wendt | Pharmacist | 2497 Ne Roberts Ave, Gresham, OR 97080 | 2012-04-03 |
| 1821385584 | Angela West | Counselor | 320 Sw 6th Ave., Gresham, OR 97080 | 2011-07-01 |
| 1043543572 | Natalie Dawn Wilson | Behavioral Analyst | 97 Sw Riverview Place, Gresham, OR 97080 | 2009-09-16 |
| 1427205442 | Maria G Jolley | Dental Hygienist | 1267 Se Stapleton Loop, Gresham, OR 97080 | 2008-08-21 |
| 1073776738 | Sabrina Joye Hindman | Marriage & Family Therapist | 6370 Se 26th St, Gresham, OR 97080 | 2008-07-03 |
| 1669676193 | Kimberly Sabin | Nurse Practitioner | 2222 E Powell Blvd, Gresham, OR 97080 | 2007-06-11 |
| 1932223880 | Julie Elizabeth Croshaw | Pharmacist | 2444 E Powell Blvd, Gresham, OR 97080 | 2007-03-18 |
| 1508903261 | Lonetta Elise Davis | Adult Companion | 349 Se Plamblad, Gresham, OR 97080 | 2007-01-31 |
| Find all providers in zip 97080 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649804048 | Gayla Ann Iwata-reuyl | Speech-Language Pathologist | 24900 Se Stark St Ste 106, Gresham, OR 97030-3381 | 2020-02-25 |
| 1326696048 | Heather Marie Wright | Speech-Language Pathologist | 908 Se 9th St, Gresham, OR 97080-8102 | 2019-08-27 |
| 1992359723 | Lynette Marie Sestric | Speech-Language Pathologist | 4632 Se Oxbow Pkwy, Gresham, OR 97080-8967 | 2019-07-30 |
| 1407200843 | Melissa Anne Bohnstedt | Speech-Language Pathologist | 6540 Se 182nd Ave, Gresham, OR 97080-3250 | 2016-04-22 |
| 1598148355 | Kimberly Vestal | Speech-Language Pathologist | 3860 Ne View Pl, Gresham, OR 97030-2123 | 2015-06-29 |
| 1467733667 | Kathleen Elaine Phillips | Speech-Language Pathologist | 1218 Sw 14th Ct, Gresham, OR 97080-9620 | 2011-08-31 |
| 1801987516 | Jill Gigi Russell | Speech-Language Pathologist | 1456 Se Condor Ave, Gresham, OR 97080-6123 | 2006-09-27 |
| 1639141898 | Cara R Lacey-morey | Speech-Language Pathologist | 550 Ne Scott Ave, Gresham, OR 97030-6147 | 2006-02-02 |
| 1245844521 | Rachael Anne Iverson | Speech-Language Pathologist | 7927 Se Orient Dr, Gresham, OR 97080-8847 | 2020-09-03 |
| 1598373094 | Anywhere Speech & Language LLC | Speech-Language Pathologist | 550 Ne Scott Ave, Gresham, OR 97030-6147 | 2020-07-21 |
| Find all providers in GRESHAM | ||||
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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.