PROACTIVE PHYSICAL THERAPY -SALMON CREEK (NPI# 1154647329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154647329 |
| Entity Type | Organization |
| Organization Name | PROACTIVE PHYSICAL THERAPY -SALMON CREEK |
| Practice Address |
2621 Ne 134th St Suite 310 Vancouver WA 98686-3036 |
| Mailing Address |
1480 Ne Village St Fairview OR 97024-3827 |
| Practice Telephone | 5034891174 |
| Enumeration Date | 2010-04-13 |
| Last Update Date | 2010-04-13 |
| Authorized Official Name | MR. LARRY KROUT (OWNER) |
| Authorized Official Telephone | 5037408847 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Street Address |
2621 NE 134TH ST SUITE 310 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98686-3036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356456909 | Deborah Marie Duboff | Counselor | 2621 Ne 134th St, Suite 340, Vancouver, WA 98686-3036 | 2006-08-21 |
| 1457871493 | Jordan Fukumoto | Physical Therapist | 2621 Ne 134th St, Vancouver, WA 98686 | 2017-06-21 |
| 1679008163 | Ellen Marie Standefer | Social Worker | 2621 Ne 134th St, Ste 340, Vancouver, WA 98686-3036 | 2017-04-22 |
| 1851835920 | Neurothryve | Psychologist | 2621 Ne 134th St, Suite 340, Vancouver, WA 98686-3036 | 2016-12-08 |
| 1942661905 | J. Hollar, Dmd, Pllc | Dentist | 2621 Ne 134th St, Suite 210, Vancouver, WA 98686-3036 | 2016-03-17 |
| 1528494143 | Brianna Yancey | Physical Therapist | 2621 Ne 134th St, Ste 310, Vancouver, WA 98686-3036 | 2013-09-16 |
| 1326473935 | Neil Smith | Psychologist | 2621 Ne 134th St, Suite 340, Vancouver, WA 98686-3036 | 2013-09-13 |
| 1477861508 | Right Price Dental | Dentist | 2621 Ne 134th St, Suite 300, Vancouver, WA 98686-3036 | 2010-09-23 |
| 1205083938 | Jill Fancher | Psychologist | 2621 Ne 134th St, Ste 340, Vancouver, WA 98686-3036 | 2008-08-25 |
| 1386809960 | Laura Smith | Psychologist | 2621 Ne 134th St, Suite 340, Vancouver, WA 98686-3036 | 2008-07-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154891117 | Dorota Bozena Barton | Speech-Language Pathologist | 2121 Ne 139th Street Mob A, Suite 200, Vancouver, WA 98686 | 2018-12-03 |
| 1881161818 | Michelle Wolfe | Dental Assistant | A101, 1484, 14313 Ne 20th Ave, Vancouver, WA 98686 | 2018-10-29 |
| 1306321237 | Rainier Springs Physician Group, LLC | General Practice | 2805 Ne 129th Street, Vancouver, WA 98686 | 2018-09-26 |
| 1801382387 | Kristopher K Kostenko | Dentist | 14201 Ne 20th Ave Ste A101, Vancouver, WA 98686 | 2018-07-08 |
| 1689164071 | Tegan Mills | Occupational Therapist | 7101 Ne 109th Street, Apt 64, Vancouver, WA 98686 | 2018-05-11 |
| 1164924122 | Kate Kristin Lawrence | Speech-Language Pathologist | 2215 Ne 104th St, Vancouver, WA 98686 | 2018-03-06 |
| 1437609567 | Elina Baranets | Registered Nurse | 14204 Ne Salmon Creek Avenue, Vancouver, WA 98686 | 2016-10-13 |
| 1386039550 | Sean Vikram Bhatia | Internal Medicine | Kaiser Salmon Creek, 14406 Ne 20th Ave, Vancouver, WA 98686 | 2015-04-03 |
| 1376988642 | Lindsay Hussey-andersen | Orthopaedic Surgery | 2525 Ne 139th St Ste 140, Vancouver, WA 98686 | 2013-05-01 |
| 1710253109 | Legacy Salmon Creek Hospital | Speech-Language Pathologist | 2121 Ne 139th St., Mob A, Ste 200, Vancouver, WA 98686 | 2012-03-29 |
| Find all providers in zip 98686 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992192231 | Stargait Physical Therapy | Clinic/Center | 6305 Ne 47th St, Vancouver, WA 98661 | 2015-04-24 |
| 1053326561 | Proactive Orthopedic and Sports Physical Therapy of East Vancouver LLC | Clinic/Center | 6700 Ne 162nd Ave, Suite 411, Vancouver, WA 98682-3858 | 2006-07-31 |
| 1003319088 | Alpine Physical Therapy Pllc | Clinic/Center | 109 Se 101st Ave, Vancouver, WA 98664-3907 | 2018-03-15 |
| 1164963898 | Pinnacle Women's Therapeutics | Clinic/Center | 300 E 24th St, Vancouver, WA 98663-3214 | 2017-03-14 |
| 1659745230 | Boomerang Physical Therapy | Clinic/Center | 18414 Ne Garden Dr, Vancouver, WA 98682-3612 | 2015-11-19 |
| 1902179484 | Function At Home Dba The Body Mechanix | Clinic/Center | 18414 Ne Garden Dr, Vancouver, WA 98682-3612 | 2012-02-15 |
| 1104080373 | Everybody Physical Therapy LLC | Clinic/Center | 1306 Main St, Vancouver, WA 98660-2919 | 2008-07-16 |
| 1770743023 | Pt Elite, Inc. | Clinic/Center | 222 Ne Park Plaza Dr, Suite 120, Vancouver, WA 98684-5895 | 2008-06-11 |
| 1710172291 | Joint Ventures Therapeutics PC | Clinic/Center | 16219 Se 12th St, Suite 100, Vancouver, WA 98683-8904 | 2007-09-07 |
| 1487854618 | Vancouver Ent & Ent of The Northwest Pllc | Clinic/Center | 14411 Ne 20th Ave, Ste 101, Vancouver, WA 98686-6431 | 2007-07-25 |
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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.