Lydia C Wukasch (NPI# 1568899631, PAC ID# 8426344805) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OCCUPATIONAL THERAPY.
| Nation Provider ID (NPI) | 1568899631 |
| PAC ID by PECOS | 8426344805 |
| Professional Enrollment ID | I20160912000707 |
| Full Name | Lydia C Wukasch |
| Organization Legal Name | PROGRESSIVE REHABILITATION ASSOCIATES LLC |
| Address |
1815 Sw Marlow Ave Suite 110 Portland OR 97225-5186 |
| Phone Number | 5032920765 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | OCCUPATIONAL THERAPY |
| Group Practice PAC ID | 3476547258 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1815 Sw Marlow Ave, Suite 110, Portland, OR 97225-5186 | 5032920765 | PROGRESSIVE REHABILITATION ASSOCIATES LLC |
| Organization Legal Name | PROGRESSIVE REHABILITATION ASSOCIATES LLC |
| Physicians | 23 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Montana Rw Rhoden | Physical Therapy | Progressive Rehabilitation Associates LLC | 1815 Sw Marlow Ave, Suite 110, Portland, OR 97225-5186 |
| Nancy D Schwarzkopf | Nurse Practitioner | Progressive Rehabilitation Associates LLC | 1815 Sw Marlow Ave, Suite 110, Portland, OR 97225-5186 |
| Mario Urdaneta-moncada | Physical Therapy | Progressive Rehabilitation Associates LLC | 1815 Sw Marlow Ave, Suite 110, Portland, OR 97225-5186 |
| Darren J Packard | Qualified Speech Language Pathologist | Progressive Rehabilitation Associates LLC | 1815 Sw Marlow Ave, Suite 110, Portland, OR 97225-5186 |
| Jodi E J Palensky | Psychologist, Clinical | Progressive Rehabilitation Associates LLC | 1815 Sw Marlow Ave, Suite 110, Portland, OR 97225-5186 |
| Ruth L Holloran | Physical Therapy | Progressive Rehabilitation Associates LLC | 1815 Sw Marlow Ave, Suite 110, Portland, OR 97225-5186 |
| Gregory Smith | Psychologist, Clinical | Progressive Rehabilitation Associates LLC | 1815 Sw Marlow Ave, Suite 110, Portland, OR 97225-5186 |
| Amanda E Goyne | Physical Therapy | Progressive Rehabilitation Associates LLC | 1815 Sw Marlow Ave, Suite 110, Portland, OR 97225-5186 |
| Teresa F Wright | Occupational Therapy | Progressive Rehabilitation Associates LLC | 1815 Sw Marlow Ave, Suite 110, Portland, OR 97225-5186 |
| Mary P Daly | Qualified Speech Language Pathologist | Progressive Rehabilitation Associates LLC | 1815 Sw Marlow Ave, Suite 110, Portland, OR 97225-5186 |
| Street Address |
1815 SW MARLOW AVE SUITE 110 |
| City | PORTLAND |
| State | OR |
| Zip | 97225-5186 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Montana Rw Rhoden | Physical Therapy | Progressive Rehabilitation Associates LLC | 1815 Sw Marlow Ave, Suite 110, Portland, OR 97225-5186 |
| Nancy D Schwarzkopf | Nurse Practitioner | Progressive Rehabilitation Associates LLC | 1815 Sw Marlow Ave, Suite 110, Portland, OR 97225-5186 |
| Ernest R Tatyrek | Psychologist, Clinical | 1815 Sw Marlow Ave, Suite 110, Portland, OR 97225-5186 | |
| Mario Urdaneta-moncada | Physical Therapy | Progressive Rehabilitation Associates LLC | 1815 Sw Marlow Ave, Suite 110, Portland, OR 97225-5186 |
| Darren J Packard | Qualified Speech Language Pathologist | Progressive Rehabilitation Associates LLC | 1815 Sw Marlow Ave, Suite 110, Portland, OR 97225-5186 |
| Jodi E J Palensky | Psychologist, Clinical | Progressive Rehabilitation Associates LLC | 1815 Sw Marlow Ave, Suite 110, Portland, OR 97225-5186 |
| Ruth L Holloran | Physical Therapy | Progressive Rehabilitation Associates LLC | 1815 Sw Marlow Ave, Suite 110, Portland, OR 97225-5186 |
| Gregory Smith | Psychologist, Clinical | Progressive Rehabilitation Associates LLC | 1815 Sw Marlow Ave, Suite 110, Portland, OR 97225-5186 |
| Amanda E Goyne | Physical Therapy | Progressive Rehabilitation Associates LLC | 1815 Sw Marlow Ave, Suite 110, Portland, OR 97225-5186 |
| Teresa F Wright | Occupational Therapy | Progressive Rehabilitation Associates LLC | 1815 Sw Marlow Ave, Suite 110, Portland, OR 97225-5186 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robyn L Finseth | Chiropractic | 4850 Sw Scholls Ferry Rd, Suite 205, Portland, OR 97225-1692 | |
| Ayla Jade Himmelsbach | Optometry | Nimbus Vision Clinic, LLC | 8566 Sw Apple Way, Portland, OR 97225-1772 |
| Mary A Domm | Chiropractic | 8550 Sw Apple Way, Portland, OR 97225-1772 | |
| David J Mcbride | Optometry | Nimbus Vision Clinic, LLC | 8566 Sw Apple Way, Portland, OR 97225-1772 |
| Jeffrey E Devine | Chiropractic | Devine Chiropractic Inc | 8225 Sw Apple Way, Suite 100, Portland, OR 97225-1783 |
| Christine Rose Adriano Walty | Chiropractic | Devine Chiropractic Inc | 8225 Sw Apple Way, Suite 100, Portland, OR 97225-1783 |
| Ronald E Pacheco | Chiropractic | Devine Chiropractic Inc | 8225 Sw Apple Way, Suite 100, Portland, OR 97225-1783 |
| Barry D Shulak | Chiropractic | Devine Chiropractic Inc | 8225 Sw Apple Way, Suite 100, Portland, OR 97225-1783 |
| Robert D Peek | Optometry | 5045 Sw 77th Ave, Portland, OR 97225-1812 | |
| William F Mcbride | Family Medicine | 4475 Sw Scholls Ferry Rd, Suite 150, Portland, OR 97225-1957 | |
| Find all physicians in zip 97225 | |||
| City | PORTLAND |
| Zip Code | 97225 |
| Specialty | OCCUPATIONAL THERAPY |
| City + Specialty | PORTLAND + OCCUPATIONAL THERAPY |
Please comment or provide details below to improve the information on Lydia C Wukasch.
| 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.