OPTIMAL THERAPY FOR KIDS, LLC (NPI# 1790189025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790189025 |
Entity Type | Organization |
Organization Name | OPTIMAL THERAPY FOR KIDS, LLC |
Practice Address |
1145 Rock Creek Dr S Salem OR 97306-2222 |
Practice Telephone | 5034536335 |
Mailing Telephone | 5034536335 |
Enumeration Date | 2014-10-15 |
Last Update Date | 2014-10-15 |
Authorized Official Name | SASCHA GERVAIS (OWNER/PHYSICAL THERAPIST) |
Authorized Official Telephone | 5034536335 |
Authorized Official Credential | PT |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
306415 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
4469 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
1145 ROCK CREEK DR S |
City | SALEM |
State | OR |
Zip Code | 97306-2222 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134609050 | Andrea P Merryman | Dental Assistant | 5135 Skyline Rd South, Salem, OR 97306 | 2018-08-20 |
1215470315 | Anthony Quoc Ngo | Nurse Practitioner | 5050 Skyline Village Loop, Salem, OR 97306 | 2016-11-22 |
1134521305 | Wendy Poling | Occupational Therapy Assistant | 1966 Madras St Se Apt 1082, Salem, OR 97306 | 2014-09-19 |
1659601045 | Monarch Medical Group LLC | Clinic/Center | 5686 Commercial St Se, Suite 100, Salem, OR 97306 | 2010-01-06 |
1316188006 | Judith A Mitchell | Physician Assistant | 4999 Skyline Rd. S., Salem, OR 97306 | 2009-03-10 |
1164685574 | Leon Chira | Pharmacist | 2431 Concomly Rd S, Salem, OR 97306 | 2008-07-07 |
1912175035 | Salem Clinic, PC | General Practice | 2531 Boone Road Se, Salem, OR 97306 | 2008-02-11 |
1326257486 | Robert Allen Long | Physical Therapist | 6250 Commercial St N.e., Salem, OR 97306 | 2007-05-22 |
1922137504 | Charlene Garbutt | Dental Assistant | 5135 Skyline Rd. S., Salem, OR 97306 | 2007-03-02 |
1417085747 | Michelle West | Dental Assistant | 5135 Skyline R S, Salem, OR 97306 | 2007-02-28 |
Find all providers in zip 97306 |
Taxonomy Code | 2251P0200X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679740609 | Ruth E Rotert | Physical Therapist | 25523 442nd Ave, Salem, SD 57058-5519 | 2008-05-08 |
1508047721 | Laurie English | Physical Therapist | 11 Redwood Rd, Salem, NH 03079-3489 | 2007-11-15 |
1083829030 | Greenwood Therapy Services | Physical Therapist | 18 Ansel St, Salem, NH 03079-4550 | 2007-05-12 |
1043519242 | Erin Apo | Physical Therapist | 70 Butler St, Salem, NH 03079-3974 | 2011-03-28 |
1609058502 | Jessica Lynn Selock | Physical Therapist | 2 Keewaydin Dr, Salem, NH 03079-2839 | 2007-12-03 |
1972719870 | Jonathan Mark Greenwood | Physical Therapist | 18 Ansel St, Salem, NH 03079-4550 | 2007-05-15 |
1073642922 | Elizabeth Shirley | Physical Therapist | 2262 Banyonwood Ave Nw, Salem, OR 97304-1341 | 2007-03-05 |
1467437244 | Barbara Jacqueline Petersen | Physical Therapist | 290 Moyer Ln Nw, Salem, OR 97304-3822 | 2005-12-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275156101 | Pace Pediatric Therapy, Inc. | Physical Therapist | 3701 Se Milwaukie Ave Ste G, Portland, OR 97202-3835 | 2020-05-27 |
1427691740 | First Steps Physical Therapy, LLC | Physical Therapist | 911 Main St Ste 100, Oregon City, OR 97045-1853 | 2019-10-18 |
1467804773 | Rebecca D. Sander | Physical Therapist | 17113 Sw Green Heron Dr, Sherwood, OR 97140-8972 | 2016-07-11 |
1841426434 | Rebecca Additon Veltri | Physical Therapist | 32513 Joseph Ln, Philomath, OR 97370-9130 | 2009-06-09 |
1396943932 | Kathleen Marie Hogan | Physical Therapist | 132 Formac Ave, Eugene, OR 97404-2606 | 2007-07-05 |
1306050646 | Pediatric Therapyworks | Physical Therapist | 30714 Se Dodge Park Blvd, Gresham, OR 97080-8961 | 2007-05-09 |
1790814200 | Susan Nicklin | Physical Therapist | 945 S Riverside Ave, Medford, OR 97501-7841 | 2007-03-02 |
1396898441 | Johanna Lydia Buck | Physical Therapist | 400 Crater Lake Ave, Medford, OR 97504-6808 | 2007-01-20 |
1912068941 | Sandra Lee Saavedra | Physical Therapist | 1763 Moss St, Eugene, OR 97403-1946 | 2006-12-13 |
1164598462 | Joy Danielle Shank | Physical Therapist | 7203 Se Raymond St, Portland, OR 97206-4323 | 2006-11-28 |
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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.