ADELIA KETCHUM (NPI# 1265047724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265047724 |
| Entity Type | Individual |
| Full Name | ADELIA KETCHUM |
| Other Name | ADDIE KETCHUM |
| Credential | DPT |
| Practice Address |
9100 Se Sunnyside Rd Clackamas OR 97015-6772 |
| Mailing Address |
2936 Se Monroe St Milwaukie OR 97222-6635 |
| Practice Telephone | 5033056129 |
| Mailing Telephone | 5034075927 |
| Enumeration Date | 2020-09-11 |
| Last Update Date | 2020-09-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
9100 SE SUNNYSIDE RD |
| City | CLACKAMAS |
| State | OR |
| Zip Code | 97015-6772 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992788640 | Joanne M Davenport | Occupational Therapist | 9100 Se Sunnyside Rd, Clackamas, OR 97015-6772 | 2005-11-28 |
| 1083011142 | Jennifer Ashford | Massage Therapist | 9100 Se Sunnyside Rd, Clackamas, OR 97015 | 2014-12-04 |
| 1043563737 | Kara Dawn Justice | Specialist | 9100 Se Sunnyside Rd, Clackamas, OR 97015-6772 | 2012-10-18 |
| 1528293404 | Ryan Douglas Glover Armworks Hand Therapy | Occupational Therapist | 9100 Se Sunnyside Rd, Clackamas, OR 97015-6772 | 2009-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184103517 | Laurel Perilli | Physical Therapist | 12550 Se 93rd Ave Ste 265, Clackamas, OR 97015 | 2018-08-07 |
| 1306324538 | Kristin Connor Messing | Physical Therapist | 4805 Ne Glisan St, Prov Hall 7e06, Portland, OR 97015 | 2018-07-31 |
| 1902317266 | Darcy Jones Hamrick | Counselor | 12901 Se 97th Ave., Suite 340, Clackamas, OR 97015 | 2017-10-13 |
| 1841723384 | Manon Lavoie | Chiropractor | 17105 Se Sunnyside Rd, Suite 148, Happy Valley, OR 97015 | 2017-04-11 |
| 1235670126 | Michael G Short | Pedorthist | 10117 Se Sunnyside Rd., Ste. H, Clackamas, OR 97015 | 2017-03-13 |
| 1487100756 | Michael Joseph Peizner | Pharmacist | 16300se Evelyn Street, Clackamas, OR 97015 | 2016-08-28 |
| 1316395619 | Jennifer Elaine Walkowski | Physical Therapist | 9100 Se Sunnyside Road, Clackamas, OR 97015 | 2016-05-26 |
| 1649635384 | Brookside Dental - Milwaukie, LLC | Dentist | 9225 Se Sunnyside Rd. Ste 1, Clackamas, OR 97015 | 2015-12-23 |
| 1801216130 | Robert D. Grew Dmd, Inc. | Dentist | 10163 Se Sunnyside Road, Suite 414, Clackamas, OR 97015 | 2014-04-25 |
| 1508205410 | Valerie P Tabalno | Massage Therapist | 15661 Se 82nd Dr, Clackamas, OR 97015 | 2013-06-25 |
| Find all providers in zip 97015 | ||||
| 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 |
|---|---|---|---|---|
| 1184103517 | Laurel Perilli | Physical Therapist | 12550 Se 93rd Ave Ste 265, Clackamas, OR 97015 | 2018-08-07 |
| 1437637832 | Lisa Lynn Perreault | Physical Therapist | 9290 Se Sunnybrook Blvd Ste 230, Clackamas, OR 97015-6777 | 2018-07-30 |
| 1669920203 | Aanal A Shah | Physical Therapist | 11977 Se Sunnyside Rd, Clackamas, OR 97015-9312 | 2016-09-12 |
| 1316395619 | Jennifer Elaine Walkowski | Physical Therapist | 9100 Se Sunnyside Road, Clackamas, OR 97015 | 2016-05-26 |
| 1841501657 | Jessica Lee Crawford | Physical Therapist | 14083 Se 116th Ave, Clackamas, OR 97015-8671 | 2010-06-25 |
| 1306911300 | Brant Walter Lewis | Physical Therapist | 14851 Se 82nd Dr, Clackamas, OR 97015-7624 | 2006-11-22 |
| 1417939364 | Mark Newell Mccurdy | Physical Therapist | 12550 Se 93rd Ave, Ste 265, Clackamas, OR 97015-8796 | 2005-11-16 |
| 1073172912 | Ashlee Baltich | Physical Therapist | 9290 Se Sunnybrook Blvd Ste 230, Clackamas, OR 97015-6777 | 2019-06-12 |
| 1477031730 | Stephen Lynn Dehn | Physical Therapist | 9290 Se Sunnybrook Blvd Ste 230, Clackamas, OR 97015-6777 | 2018-07-30 |
| 1295213569 | Erica Robertson | Physical Therapist | 9290 Se Sunnybrook Blvd Ste 230, Clackamas, OR 97015-6777 | 2018-07-30 |
| Find all providers in CLACKAMAS | ||||
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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.