REBOUND PHYSICAL THERAPY (NPI# 1720040397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720040397 |
| Entity Type | Organization |
| Organization Name | REBOUND PHYSICAL THERAPY |
| Practice Address |
200 Ne Mother Joseph Pl Suite G100 Vancouver WA 98664-3299 |
| Mailing Address |
11610 Nw 27th Court Vancouver WA 98685 |
| Practice Telephone | 3605142048 |
| Practice Fax Number | 3605143155 |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. BRADY W CORSE (ATHLETIC TRAINER) |
| Authorized Official Telephone | 3605142048 |
| Authorized Official Credential | A.T.C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT-AT-707950 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124562194 | Rebound Physical Therapy | Clinic/Center | 11716 Detroit Ave, Lakewood, OH 44107-3002 | 2016-12-11 |
| 1619097854 | Rebound Physical Therapy | Physical Therapist | 974 Sw Veterans Way, Suite 4, Redmond, OR 97756-2564 | 2007-03-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | REBOUND PHYSICAL THERAPY II, LLC | 805 Sw Industrial Way Ste 3, Bend, OR 97702 |
| New York State Corporations | REBOUND PHYSICAL THERAPY P.C. | 11 East Place, Chappaqua, Ny 10514 |
| Oregon Corporations, Companies and Business Names | REBOUND PHYSICAL THERAPY, LIMITED PARTNERSHIP | 1300 W Sam Huston Pkwy S Ste 300, Houston, TX 77042 |
| Street Address |
200 NE MOTHER JOSEPH PL SUITE G100 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98664-3299 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457343766 | Laura Deesha Ramme | Physician Assistant | 200 Ne Mother Joseph Pl, Suite 410, Vancouver, WA 98664-3299 | 2005-08-22 |
| 1154874956 | Brody Kadow | Physician Assistant | 200 Ne Mother Joseph Pl, Suite 110, Vancouver, WA 98664-3299 | 2016-07-27 |
| 1831642818 | Erik Lehrbach | Physician Assistant | 200 Ne Mother Joseph Pl, Suite 300, Vancouver, WA 98664-3299 | 2016-07-26 |
| 1497007983 | Matthew Earnest Nipper | Clinical Exercise Physiologist | 200 Ne Mother Joseph Pl, Physicians Pavilion, Ste 400, Vancouver, WA 98664-3299 | 2012-10-08 |
| 1104187384 | James Webster | Physical Therapist | 200 Ne Mother Joseph Pl, Suite 210, Vancouver, WA 98664-3299 | 2012-06-04 |
| 1043502560 | Deven A Karvelas | Physical Medicine & Rehabilitation | 200 Ne Mother Joseph Pl, Ste 210, Vancouver, WA 98664-3299 | 2011-05-03 |
| 1588969984 | Lindsay Rae Pfender | Physician Assistant | 200 Ne Mother Joseph Pl, Ste 110, Vancouver, WA 98664-3299 | 2011-01-14 |
| 1922302942 | Janell Louise Riepma | Nurse Practitioner | 200 Ne Mother Joseph Pl, Suite 400, Vancouver, WA 98664-3299 | 2011-01-05 |
| 1285946079 | Jonathan Garrett Matthews | Physician Assistant | 200 Ne Mother Joseph Pl, Suite 300, Vancouver, WA 98664-3299 | 2010-07-08 |
| 1649508805 | Bret Allen Lautt | Physical Therapist | 200 Ne Mother Joseph Pl, Suite 210, Vancouver, WA 98664-3299 | 2009-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285249938 | Angelica Maria Parle-fresquez | Speech-Language Pathologist | Early Childhood Assessment Center - Lieser School, 301 S. Lieser Rd, Vancouver, WA 98664 | 2020-09-10 |
| 1467923441 | Elizabeth Steen | Counselor | 230 E. State St., Mossyrock, WA 98664 | 2018-12-17 |
| 1497241657 | Chelsey Nicole Parker | Peer Specialist | 9815 Ne 3rd St, Vancouver, WA 98664 | 2018-07-10 |
| 1881145431 | Brent Homan | Occupational Therapist | 807 Se Morgan Rd., Vancouver, WA 98664 | 2016-10-19 |
| 1114474277 | Rebecca Marie Stefan | Nurse's Aide | 10025 Ne 19th St, Vancouver, WA 98664 | 2016-09-07 |
| 1528454105 | Alicia Ford | Dietitian, Registered | 700 Ne 87th Ave Ste 280, Vancouver, WA 98664 | 2015-04-10 |
| 1033504261 | Reid Roberts Bennett | Anesthesiology | 505 Ne 87th Ave Ste 210, Vancouver, WA 98664 | 2015-04-03 |
| 1235550856 | Nikolay Nikolaevich Chernukhin Jr. | Chiropractor | 221-a Ne 104th Ave, Suite 205, Vancouver, WA 98664 | 2013-12-27 |
| 1013278712 | Serena Harker | Physical Therapy Assistant | 221a Ne 104th Ave, Suite #205, Vancouver, WA 98664 | 2012-05-30 |
| 1295091080 | Rebeca C Johnson | Massage Therapist | 11015 Ne 4th Plain Suite B, Vancouver, WA 98664 | 2012-04-05 |
| Find all providers in zip 98664 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356957054 | Alex Vincent Pham | Specialist/Technologist | 3523 Se 176th Ave, Vancouver, WA 98683-3591 | 2020-09-17 |
| 1174086706 | Cameron Scot Townsen | Specialist/Technologist | 18510 Ne 30th St, Vancouver, WA 98682-3609 | 2019-04-10 |
| 1275030728 | Courtney Lynn Ryan | Specialist/Technologist | 14004 Nw 27th Ave, Vancouver, WA 98685-1871 | 2018-04-11 |
| 1902330665 | Jessica L. Padget | Specialist/Technologist | 10108 Ne 86th St, Vancouver, WA 98662-2114 | 2017-04-19 |
| 1659805315 | Vanessa Punches | Specialist/Technologist | 12810 Ne 43rd Cir, Vancouver, WA 98682-6492 | 2017-04-19 |
| 1609223478 | Anna Pengra | Specialist/Technologist | 10402 Ne 88th St, Vancouver, WA 98662-2178 | 2016-05-20 |
| 1710361225 | Amanda Widman | Specialist/Technologist | 6700 Ne 162nd Ave Ste 411, Vancouver, WA 98682-3863 | 2015-07-14 |
| 1710113501 | Neetu Rishiraj | Specialist/Technologist | Actin Health and Rehabilitation Inc., 5767 Oak Street, Vancouver, BRITISH COLUMBIA V6M2V7 | 2009-06-07 |
| 1669599320 | Chapman Leo Gee | Specialist/Technologist | 11604 Nw 30th Ct, Vancouver, WA 98685-3480 | 2007-03-26 |
| 1093832271 | Michael Scott Lefore | Specialist/Technologist | 7825 Ne 130th Ave, Vancouver, WA 98682-3316 | 2007-03-23 |
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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.