PROGRESSIVE REHABILITATION ASSOCIATES, LLC (NPI# 1851752471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851752471 |
| Entity Type | Organization |
| Organization Name | PROGRESSIVE REHABILITATION ASSOCIATES, LLC |
| Practice Address |
1815 Sw Marlow Ave Ste 110 Portland OR 97225-5185 |
| Practice Telephone | 5032920765 |
| Practice Fax Number | 5032925208 |
| Mailing Telephone | 5032920765 |
| Mailing Fax Number | 5032925208 |
| Enumeration Date | 2016-03-09 |
| Last Update Date | 2016-03-09 |
| Authorized Official Name | GREGORY THOMAS SMITH (DIRECTOR) |
| Authorized Official Telephone | 5032920765 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | PROGRESSIVE REHABILITATION ASSOCIATES, LLC | 1815 Sw Marlow Ave Ste 110, Portland, OR 97225 |
| Street Address |
1815 SW MARLOW AVE STE 110 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97225-5185 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790760908 | Progressive Rehabilitation Associates LLC | Clinic/Center | 1815 Sw Marlow Ave, Suite 110, Portland, OR 97225-5185 | 2005-12-09 |
| 1831612845 | Amy Crowell | Occupational Therapy Assistant | 1815 Sw Marlow Ave, 110, Portland, OR 97225 | 2017-07-21 |
| 1487188199 | Project Quest | Counselor | 1815 Sw Marlow Ave, 110, Portland, OR 97225-5185 | 2017-04-19 |
| 1700310075 | Steven Washburn | Counselor | 1815 Sw Marlow Ave, 110, Portland, OR 97225-5185 | 2017-04-13 |
| 1295106482 | Jodi Elizabeth Johnson Palensky | Psychologist | 1815 Sw Marlow Ave, Suite 110, Portland, OR 97225-5185 | 2015-10-13 |
| 1033518600 | Active Wellness Chiropractic,pc | Chiropractor | 1815 Sw Marlow Ave, Suite 206, Portland, OR 97225-5185 | 2014-08-19 |
| 1083037238 | Caren Gail Cohen | Occupational Therapist | 1815 Sw Marlow Ave, Ste. 110, Portland, OR 97225-5185 | 2014-01-23 |
| 1326486234 | Daniel Howard Cooper | Physical Therapist | 1815 Sw Marlow Ave, Ste 110, Portland, OR 97225-5185 | 2013-06-13 |
| 1386990646 | Lorna J Defreest | Occupational Therapy Assistant | 1815 Sw Marlow Ave, Ste 110, Portland, OR 97225-5185 | 2012-07-24 |
| 1063794261 | Margo Cohn Pactanac | Counselor | 1815 Sw Marlow Ave, Suite 218, Portland, OR 97225-5185 | 2011-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508425034 | Gabrielle Gonzales | Behavior Technician | 1675 Sw Marlow Ave, Suite 200, Portland, OR 97225 | 2019-06-08 |
| 1558844555 | Tate Roseberry | Behavior Technician | 1675 Sw Marlow Avenue, Suite 200, Portland, OR 97225 | 2018-09-14 |
| 1982186300 | Dean Alan Hopkins | Registered Nurse | 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225 | 2018-09-01 |
| 1316449168 | Surgery Center At St. Vincent, LLC | Clinic/Center | 9135 Sw Barnes Rd Ste 161, Portland, OR 97225 | 2018-03-07 |
| 1730606716 | Meghan Louise Lacy | Pediatrics | 11790 Sw Barnes Rd, Blg. A, Suite 140, Portland, OR 97225 | 2017-08-29 |
| 1841733433 | Tia Pugh | Occupational Therapist | 9155 S.w. Barnes Road, East Pavilion, Portland, OR 97225 | 2016-11-30 |
| 1295185585 | Stephanie Lynn Hart | Nurse Practitioner | 9155 Sw Barnes Rd Ste 240, Portland, OR 97225 | 2016-06-16 |
| 1962866244 | Bejian Shamloo | Chiropractor | 10200 Sw Eastridge St., Suite 235, Portland, OR 97225 | 2016-04-12 |
| 1992162630 | Robert Joseph Yoder | Psychologist | 9045 Barnes Rd, Portland, OR 97225 | 2016-01-26 |
| 1316303951 | Katie Herold | Chiropractor | 9315 Sw Morrison St, Portland, OR 97225 | 2016-01-12 |
| Find all providers in zip 97225 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801413240 | Gfm LLC | Clinic/Center | 1235 Se Division St Ste 114, Portland, OR 97202-1042 | 2020-07-01 |
| 1134750037 | Legacy Good Samaritan Hospital and Medical Center | Clinic/Center | 1040 Nw 22nd Ave Ste 250, Portland, OR 97210-3057 | 2020-01-29 |
| 1679030290 | Yoana Kanev | Clinic/Center | 3701 Sw Condor Ave Apt C1, Portland, OR 97239-4158 | 2019-03-01 |
| 1841760584 | Orthopedic Needle LLC | Clinic/Center | 328 Ne Failing St Ste C, Portland, OR 97212-1157 | 2018-11-26 |
| 1073081881 | Sober Living Oregon Recovery Center | Clinic/Center | 1122 Ne 122nd Ave Ste A102, Portland, OR 97230-2082 | 2018-11-09 |
| 1366933830 | Dr Frances V Verzosa Md PC | Clinic/Center | 12770 Se Stark St Bldg C, Portland, OR 97233-1539 | 2018-05-21 |
| 1023520814 | Concordia Wellness, LLC | Clinic/Center | 3014 Ne Killingsworth St, Portland, OR 97211-6814 | 2017-11-01 |
| 1114443124 | Zephyr Acupuncture and Bodywork, LLC | Clinic/Center | 4313 Ne Tillamook St, Portland, OR 97213-1315 | 2017-08-22 |
| 1164952495 | Earth Source Medicine | Clinic/Center | 2207 Ne Broadway St Ste 200, Portland, OR 97232-1791 | 2017-06-19 |
| 1902353873 | Siesta Acupuncture LLC | Clinic/Center | 2818 Se 70th Ave, Portland, OR 97206-1117 | 2016-09-08 |
| Find all providers in PORTLAND | ||||
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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.