PREMERE REHAB LLC (NPI# 1043523533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043523533 |
| Entity Type | Organization |
| Organization Name | PREMERE REHAB LLC |
| Other Organization Name | MACKENZIE PLACE FC |
| Practice Address |
4750 Pleasant Oak Dr Fort Collins CO 80525-3737 |
| Mailing Address |
25117 Sw Parkway Ave Suite D Wilsonville OR 97070-9697 |
| Practice Telephone | 9702071939 |
| Mailing Telephone | 5035703665 |
| Mailing Fax Number | 5035709155 |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2012-02-20 |
| Authorized Official Name | LAURA A CANTRELL (DIRECTOR OF OUTPATIENT) |
| Authorized Official Telephone | 3609018111 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | PTAN | COA104421 | 01 |
| Other Name | Type Code |
|---|---|
| MacKenzie Place FC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245839547 | Premere Rehab LLC | Occupational Therapist | 1525 E Ovation Pl, Washington, UT 84780 | 2020-10-19 |
| 1356976187 | Premere Rehab LLC | Occupational Therapist | Infinity Rehab - The Springs At Lake Oswego, 3900 Kruse Way Pl, Lake Oswego, OR 97035 | 2020-03-12 |
| 1093375610 | Premere Rehab LLC | Occupational Therapist | 16872 Sw Edy Rd, Sherwood, OR 97140-9146 | 2019-06-17 |
| 1821653924 | Premere Rehab LLC | Occupational Therapist | 1415 N San Benito Dr, Gilbert, AZ 85234-2490 | 2019-05-03 |
| 1316429624 | Premere Rehab LLC | Occupational Therapist | 7600 Sandy Rock Point, Melody Living, Colorado Springs, CO 80924-5222 | 2018-09-04 |
| 1861988131 | Premere Rehab LLC | Occupational Therapist | 19160 Cottonwood Dr, Parker, CO 80138 | 2018-07-10 |
| 1750876363 | Premere Rehab LLC | Occupational Therapist | 1115 108th Ave Ne, Bellevue, WA 98004-8655 | 2018-06-26 |
| 1417486978 | Premere Rehab LLC | Occupational Therapist | 1282 Goodpasture Island Rd, Eugene, OR 97401-1755 | 2017-06-08 |
| 1477092591 | Premere Rehab LLC | Occupational Therapist | 7825 W Alameda Ave, Lakewood, CO 80226 | 2017-02-22 |
| 1962855601 | Premere Rehab LLC | Occupational Therapist | 11795 Nw Cedar Falls Dr, Portland, OR 97229-2773 | 2016-07-18 |
| Street Address |
4750 PLEASANT OAK DR |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80525-3737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073821435 | Julie A Moritz | Physical Therapist | 4750 Pleasant Oak Dr, Fort Collins, CO 80525-3737 | 2010-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356950299 | Kelly Westbrook Schmalstich | Clinical Nurse Specialist | 2020 Blue Yonder Way, Fort Collins, CO 80525 | 2020-07-27 |
| 1912522376 | Tender Gifts Midwifery and Birth Center | Clinical Nurse Specialist | 1817 Jessup Dr Farms, Fort Collins, CO 80525 | 2020-06-11 |
| 1114566015 | Andrea Nicole Brogdon | Acupuncturist | 2501 S. College Ave, Fort Collins, CO 80525 | 2019-12-26 |
| 1013553593 | Kids Overcoming, LLC | Home Health | 1330 Oakridge Drive Suite 105, Fort Collins, CO 80525 | 2019-11-20 |
| 1568019966 | Julia Heithoff | Behavioral Analyst | 1100 Haxton Dr #115, Fort Collins, CO 80525 | 2019-08-20 |
| 1144875246 | Harmony Smiles Dentistry, LLP | Dentist | 356 E Harmony Rd., #6-a, Fort Collins, CO 80525 | 2019-08-06 |
| 1841774502 | Shannon L Harris | Social Worker | 305 Carpenter Road, Fort Collins, CO 80525 | 2018-09-19 |
| 1306332101 | Joshua Evans Brooks | Optometrist | 375 E Horsetooth Rd Bldg 5 Ste 201, Fort Collins, CO 80525 | 2018-07-03 |
| 1285120212 | Danae Fuqua | Physical Medicine & Rehabilitation | Covell Care & Rehabilitation, 2350 Limon Dr., Fort Collins, CO 80525 | 2018-07-02 |
| 1528552890 | Megan E Locke | Audiologist | 724 Whalers Way Bdg I, Suite 101, Fort Collins, CO 80525 | 2018-06-19 |
| Find all providers in zip 80525 | ||||
| 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 |
|---|---|---|---|---|
| 1568063352 | Rocky Mountain Physical Therapy Inc | Physical Therapist | 1307 E Prospect Rd Ste 20, Fort Collins, CO 80525-1187 | 2020-11-06 |
| 1366067852 | Tyler Carl Shandra | Physical Therapist | 217 N Meldrum St, Fort Collins, CO 80521-2022 | 2020-06-10 |
| 1356908784 | Errin Linsey Vito | Physical Therapist | 4912 Overhill Dr, Fort Collins, CO 80526-4537 | 2019-05-21 |
| 1093284945 | Nathan Lee Austin | Physical Therapist | 343 W Drake Rd Ste 102, Fort Collins, CO 80526-2880 | 2018-11-21 |
| 1053886267 | Alexandra Lena Veronda | Physical Therapist | 2020 S College Ave Unit C1, Fort Collins, CO 80525-1463 | 2018-10-04 |
| 1518458868 | Rachel B Maass | Physical Therapist | 1307 E Prospect Rd Ste 120, Fort Collins, CO 80525-1191 | 2018-05-22 |
| 1205344884 | Rachel Nicole Willard | Physical Therapist | 702 W Drake Rd Ste A, Fort Collins, CO 80526-5555 | 2018-01-17 |
| 1679081210 | Rachel Kristine Rantanen I | Physical Therapist | 1832 Golden Willow Ct, Fort Collins, CO 80528-6391 | 2018-01-17 |
| 1063951721 | Nika Ghassemikia | Physical Therapist | 2211 S College Ave Ste 300, Fort Collins, CO 80525-1491 | 2017-02-14 |
| 1427595479 | Pamela Barker | Physical Therapist | 1113 West Olive Street, Fort Collins, CO 80521-2407 | 2017-01-30 |
| Find all providers in FORT COLLINS | ||||
| City | FORT COLLINS |
| Zip Code | 80525 |
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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.