Corinne Ashely Hieatt (NPI# 1245888072, PAC ID# 6002147535) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1245888072 |
| PAC ID by PECOS | 6002147535 |
| Professional Enrollment ID | I20191014002354 |
| Full Name | Corinne Ashely Hieatt |
| Organization Legal Name | NEW PROACTIVE LLC |
| Address |
1470 Ne 3rd St Prineville OR 97754-2906 |
| Phone Number | 5414476846 |
| Gender | F |
| Medical School | UNIVERSITY OF SOUTHERN CALIFORNIA SCHOOL OF MEDICINE |
| Graduation Year | 2019 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 7315218708 |
| Number of Group Practice Members | 38 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1470 Ne 3rd St, Prineville, OR 97754-2906 | 5414476846 | NEW PROACTIVE LLC |
| 450 Nw Greenwood Ave, Redmond, OR 97756-1531 | 5419230410 | NEW PROACTIVE LLC |
| Organization Legal Name | NEW PROACTIVE LLC |
| Physicians | 47 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan Kristin Kaser | Physical Therapy | New Proactive LLC | 450 Nw Greenwood Ave, Redmond, OR 97756-1531 |
| Daniel Richard Ryan | Physical Therapy | New Proactive LLC | 308 N Ivy St, Canby, OR 97013-3704 |
| John Sterling Zdor | Physical Therapy | New Proactive LLC | 1808 Sw 9th Ave, Suite 101, Battle Ground, WA 98604-3284 |
| Bryce P Schuster | Physical Therapy | New Proactive LLC | 100 E 33rd St, Suite 206b, Vancouver, WA 98663-2725 |
| Kenneth W Smith | Physical Therapy | New Proactive LLC | 1251 Ne Elm St, Suite 2a, Prineville, OR 97754-3143 |
| Ernest J Sturzinger | Physical Therapy | New Proactive LLC | 1630 Beavercreek Rd, Suite A, Oregon City, OR 97045-4156 |
| Glen R Akers | Physical Therapy | New Proactive LLC | 25500 Se Stark St, Suite 103, Gresham, OR 97030-8327 |
| Sara H Grafil | Physical Therapy | New Proactive LLC | 450 Nw Greenwood Ave, Redmond, OR 97756-1531 |
| Elliott Ballentine | Physical Therapy | New Proactive LLC | 100 E 33rd St, Suite 206b, Vancouver, WA 98663-2725 |
| Catharine N Keller | Physical Therapy | New Proactive LLC | 1808 Sw 9th Ave, Suite 101, Battle Ground, WA 98604-3284 |
| Street Address |
1470 NE 3RD ST |
| City | PRINEVILLE |
| State | OR |
| Zip | 97754-2906 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Warren Robert Ocano | Physical Therapy | New Proactive LLC | 1470 Ne 3rd St, Prineville, OR 97754-2906 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Coby L Hanes | Chiropractic | 446 Nw 3rd St, Prineville, OR 97754-1757 | |
| Linda C Hatch | Nurse Practitioner | Mosaic Medical | 375 Nw Beaver St, Suite 101, Prineville, OR 97754-1802 |
| Diana Burden | Nurse Practitioner | Mosaic Medical | 375 Nw Beaver St, Suite 101, Prineville, OR 97754-1802 |
| Brian J Sullivan | Family Medicine | Mosaic Medical | 375 Nw Beaver St, Suite 101, Prineville, OR 97754-1802 |
| Jennifer Foresman | Nurse Practitioner | Mosaic Medical | 375 Nw Beaver St, Suite 101, Prineville, OR 97754-1802 |
| Kathy Ingelse | Nurse Practitioner | Mosaic Medical | 375 Nw Beaver St, Suite 101, Prineville, OR 97754-1802 |
| Rebecca Roach | Family Medicine | Mosaic Medical | 375 Nw Beaver St, Suite 101, Prineville, OR 97754-1802 |
| Matthew Travis Mullane | Family Medicine | Mosaic Medical | 375 Nw Beaver St, Suite 101, Prineville, OR 97754-1802 |
| William C Claridge | Family Medicine | Mosaic Medical | 375 Nw Beaver St, Suite 101, Prineville, OR 97754-1802 |
| Taouea Juanita Vitousek | Clinical Social Worker | Mosaic Medical | 375 Nw Beaver St, Suite 101, Prineville, OR 97754-1802 |
| Find all physicians in zip 97754 | |||
| City | PRINEVILLE |
| Zip Code | 97754 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | PRINEVILLE + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Corinne Ashely Hieatt.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.