PAUL SONG EO (NPI# 1033728670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033728670 |
| Entity Type | Individual |
| Full Name | PAUL SONG EO |
| Credential | DPT |
| Practice Address |
24076 Se Stark St Ste 200 Gresham OR 97030-3376 |
| Mailing Address |
2737 Nw Upshur St Apt 218 Portland OR 97210-2273 |
| Practice Telephone | 5034911666 |
| Mailing Telephone | 2246161199 |
| Enumeration Date | 2020-07-29 |
| Last Update Date | 2020-07-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 63730 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
24076 SE STARK ST STE 200 |
| City | GRESHAM |
| State | OR |
| Zip Code | 97030-3376 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356685705 | Cameron Michael Purington | Specialist/Technologist | 24076 Se Stark St Ste 200, Gresham, OR 97030-3376 | 2012-11-23 |
| 1083213474 | Ross Hubbard | Occupational Therapist | 24076 Se Stark St Ste 200, Gresham, OR 97030-3376 | 2020-10-18 |
| 1144860024 | Tara A Harrington | Clinic/Center | 24076 Se Stark St Ste 200, Gresham, OR 97030-3376 | 2020-01-08 |
| 1548724677 | Sportscare Integrative Physical Therapy | Clinic/Center | 24076 Se Stark St Ste 200, Gresham, OR 97030-3376 | 2019-01-23 |
| 1942722210 | Amy Kalra | Occupational Therapist | 24076 Se Stark St Ste 200, Gresham, OR 97030-3376 | 2017-07-08 |
| 1821543075 | Kevin Eischen | Physical Therapist | 24076 Se Stark St Ste 200, Gresham, OR 97030-3376 | 2016-08-17 |
| 1295168391 | Maxwell Langdon Mckinney | Physical Therapist | 24076 Se Stark St Ste 200, Gresham Armworks Hand Th LLC, Gresham, OR 97030-3376 | 2013-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174032312 | Tiffany Chen | Occupational Therapist | 304 Ne Hood Ave., Gresham, OR 97030 | 2017-09-20 |
| 1225568454 | Goldstar Vascular Access, Inc | Home Infusion | 2870 Ne Hogan Dr, Ste E #205, Gresham, OR 97030 | 2017-06-20 |
| 1861940454 | Jessica Morrow | Massage Therapist | 1748 Nw Fairview Dr., Gresham, OR 97030 | 2016-09-13 |
| 1033665898 | Bonita Baxter | Counselor | 400 Ne 7th Street, Gresham, OR 97030 | 2016-08-31 |
| 1710335484 | Ethan William Hoccom | Counselor | 1527 Ne Lamesa Place 17th St, Gresham, OR 97030 | 2016-06-02 |
| 1992159610 | Kathleen Kline, Lmt | Massage Therapist | 1217 Ne Burnside Road Suite 701-d, Gresham, OR 97030 | 2016-04-19 |
| 1215390109 | The Wallace Medical Concern | Nurse Practitioner | 254 Nw Burnside Road, Gresham, OR 97030 | 2016-03-30 |
| 1932568912 | Atchison Dialysis, LLC | Clinic/Center | 878 Nw Burnside Rd, Gresham, OR 97030 | 2016-02-18 |
| 1912374034 | Hilary Dawn Montgomery | Counselor | 1326 Nw Civic Dr # 5569, Gresham, OR 97030 | 2015-08-24 |
| 1992171730 | Melissa E Childs | Massage Therapist | 1217 Nw Burnside Rd Ste 701, Gresham, OR 97030 | 2015-08-17 |
| Find all providers in zip 97030 | ||||
| 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 |
|---|---|---|---|---|
| 1558843870 | Angelo Joseph Bologna | Physical Therapist | 282 Ne 223rd Ave, Gresham, OR 97030-8555 | 2018-09-04 |
| 1730679903 | Ariel Reiter | Physical Therapist | 689 Nw Burnside Rd, Gresham, OR 97030-3739 | 2018-05-14 |
| 1538674296 | Chelsea Krotser | Physical Therapist | 25500 Se Stark St Ste 103, Gresham, OR 97030-8327 | 2017-12-04 |
| 1447616982 | Ashley Rae Duvall | Physical Therapist | 19201 Se Division St Ste 100, Gresham, OR 97030-5333 | 2016-01-13 |
| 1962888644 | Erica Johnson | Physical Therapist | 24076 Se Stark St., Gresham, OR 97030 | 2015-08-05 |
| 1336497692 | Debbie Kay Vandover | Physical Therapist | 2160 Sw 26th St, Gresham, OR 97080-9521 | 2012-08-16 |
| 1215246970 | Knut Skybak | Physical Therapist | 223 Sw Willowbrook Dr, Gresham, OR 97080-6781 | 2010-09-29 |
| 1265663009 | Cassandra A E Dunsire | Physical Therapist | 546 Se 204th Pl, Gresham, OR 97030-2300 | 2009-07-28 |
| 1942484241 | Trevor Albert Todd | Physical Therapist | 1620 Nw 1st St, Gresham, OR 97030-6876 | 2007-12-21 |
| 1558579029 | Janet Patricia Mannelin | Physical Therapist | 19201 Se Division Street, Cascade Physical Therapy, Gresham, OR 97030 | 2007-05-18 |
| Find all providers in GRESHAM | ||||
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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.