NORTH LAKE PHYSICAL THERAPY AND REHABILITATION, INC. (NPI# 1750658050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750658050 |
| Entity Type | Organization |
| Organization Name | NORTH LAKE PHYSICAL THERAPY AND REHABILITATION, INC. |
| Other Organization Name | KOSTA, CHOATE AND PIERSON, INC. |
| Practice Address |
365 S Redwood St Canby OR 97013-2405 |
| Mailing Address |
101 S State St Ste 200g Lake Oswego OR 97034-3900 |
| Practice Telephone | 5036512020 |
| Practice Fax Number | 5036512019 |
| Enumeration Date | 2011-11-30 |
| Last Update Date | 2011-11-30 |
| Authorized Official Name | MICHAEL CHOATE (PRESIDENT, NORTH LAKE PHYSICAL THER) |
| Authorized Official Telephone | 5036363028 |
| Authorized Official Credential | MSPT |
| Is Organization Subpart | Y |
| Parent Organization Name | NORTH LAKE PHYSICAL THERAPY AND REHABILITATION, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| Kosta, Choate and Pierson, Inc. | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003183302 | North Lake Physical Therapy and Rehabilitation, Inc. | Physical Therapist | 4606 Se Boardman Ave, Milwaukie, OR 97267-5930 | 2011-11-30 |
| 1376810671 | North Lake Physical Therapy and Rehabilitation, Inc. | Physical Therapist | 1420 Nw 17th Ave Ste 388, Portland, OR 97209-2447 | 2011-11-30 |
| 1841345352 | North Lake Physical Therapy and Rehabilitation, Inc. | Physical Therapist | 101 S State St Ste 200g, Lake Oswego, OR 97034-3900 | 2007-01-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | NORTH LAKE PHYSICAL THERAPY AND REHABILITATION, INC. | 101 S State St Ste 2400, Lake Oswego, OR 97034 |
| Street Address |
365 S REDWOOD ST |
| City | CANBY |
| State | OR |
| Zip Code | 97013-2405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548238033 | Kyle Michael Lesko | Physical Therapist | 365 S Redwood St, Canby, OR 97013-2405 | 2006-03-09 |
| 1003461823 | Charlo Brandon Crumpacker | Physical Therapist | 365 S Redwood St, Canby, OR 97013-2405 | 2019-08-08 |
| 1497266993 | Andrew Polenske | Physical Therapist | 365 S Redwood St, Canby, OR 97013-2405 | 2017-10-24 |
| 1285779249 | Jennifer Bissig | Physical Therapist | 365 S Redwood St, Canby, OR 97013-2405 | 2007-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639634314 | Clackamas County School District 86 | Local Education Agency (LEA) | 1130 S Ivy Street, Canby, OR 97013 | 2019-02-06 |
| 1669924502 | Brigid Marie-crotty Piccolotti | Speech-Language Pathologist | 344 N Holly St, Canby, OR 97013 | 2016-10-26 |
| 1497150247 | Speech With Sarah - LLC | Speech-Language Pathologist | 366 N. Holly St., Canby, OR 97013 | 2014-10-22 |
| 1164838116 | Annaliese Dianna Ellsworth | Social Worker | 550 Nw 3rd Ave Ste Bandc, Canby, OR 97013 | 2014-07-09 |
| 1639500804 | Alison Johnson | Social Worker | 11303 S Mulino Rd, Canby, OR 97013 | 2013-12-12 |
| 1184975260 | Tara Marie Mcgarry | Psychologist | 1433 Se 1st Ave, Canby, OR 97013 | 2012-09-28 |
| 1235488842 | Natalie Jackson Ballas | Dentist | 300 N Holly Street, Canby, OR 97013 | 2012-08-29 |
| 1699021667 | Canby Clinic | Naturopath | 452 Nw 1st Avenue, Canby, OR 97013 | 2012-07-27 |
| 1518231950 | Kyle Greer | Pharmacist | 1401 Se First, Canby, OR 97013 | 2012-03-02 |
| 1912284027 | Julie Michelle Francis | Counselor | 1655 S. Elm St #508, Canby, OR 97013 | 2011-11-03 |
| Find all providers in zip 97013 | ||||
| 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 |
|---|---|---|---|---|
| 1669950358 | Louis Joseph Kekoa Turbeville | Physical Therapist | 200 S Hazel Dell Way Ste 210, Canby, OR 97013-7828 | 2018-08-03 |
| 1407230824 | Melissa Konold | Physical Therapist | 112 St. Olaf Avenue S, Canby, MN 56220 | 2015-07-15 |
| 1407035546 | Kathleen Magee | Physical Therapist | 210 S Hazel Dell Way, Suite 210, Canby, OR 97013 | 2007-10-25 |
| 1336364850 | Kendra Shaun Martin | Physical Therapist | 1535 S Ivy St, Canby, OR 97013-4334 | 2007-04-17 |
| 1932288545 | Jennifer Jackson | Physical Therapist | 1001 Ring Ave N, Canby, MN 56220-1010 | 2006-11-03 |
| 1548238033 | Kyle Michael Lesko | Physical Therapist | 365 S Redwood St, Canby, OR 97013-2405 | 2006-03-09 |
| 1184603821 | Tyler Marc Bohnet | Physical Therapist | 308 N Ivy St, Canby, OR 97013-3704 | 2006-01-11 |
| 1073093936 | Daniel Richard Ryan | Physical Therapist | 308 N Ivy St, Canby, OR 97013-3704 | 2018-08-20 |
| 1013495704 | Molly Ann Fauske | Physical Therapist | 200 S Hazel Dell Way Ste 210, Canby, OR 97013-7828 | 2018-08-03 |
| 1104334036 | Adam Lee Hoffmann | Physical Therapist | 112 Saint Olaf Ave S, Canby, MN 56220-1433 | 2018-01-12 |
| Find all providers in CANBY | ||||
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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.