WATERFORD OUTPATIENT REHABILITATION CLINIC (NPI# 1265522965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265522965 |
| Entity Type | Organization |
| Organization Name | WATERFORD OUTPATIENT REHABILITATION CLINIC |
| Practice Address |
2911 Se Village Loop Vancouver WA 98683-8103 |
| Practice Telephone | 3604336346 |
| Practice Fax Number | 3608914532 |
| Mailing Telephone | 3604336346 |
| Mailing Fax Number | 3608914532 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. PATRICK R BERGIN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3608542866 |
| Authorized Official Credential | BS, NHA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 225100000X | Physical Therapist | 00007335 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| X | 225100000X | Physical Therapist | 00007567 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| X | 225200000X | Physical Therapy Assistant | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
| X | 225X00000X | Occupational Therapist | 00002309 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| X | 225X00000X | Occupational Therapist | 00002848 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| X | 235Z00000X | Speech-Language Pathologist | 00003218 | WA | Speech, Language and Hearing Service Providers |
| Street Address |
2911 SE VILLAGE LOOP |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98683-8103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811006893 | Kenneth Zimmerman | Physical Therapist | 2911 Se Village Loop, Vancouver, WA 98683-8103 | 2006-08-30 |
| 1336446624 | Kathryn Ann Erickson | Physical Therapist | 2911 Se Village Loop, Vancouver, WA 98683-8103 | 2011-02-22 |
| 1679735708 | Teresa Summey Allen | Physical Therapist | 2911 Se Village Loop, Vancouver, WA 98683-8103 | 2008-06-30 |
| 1366601791 | Jason Litts | Physical Therapy Assistant | 2911 Se Village Loop, Vancouver, WA 98683-8103 | 2008-06-02 |
| 1194993022 | Gregory Noelck | Physical Therapist | 2911 Se Village Loop, Vancouver, WA 98683-8103 | 2008-02-13 |
| 1992900633 | Sean M Powers | Physical Therapist | 2911 Se Village Loop, Vancouver, WA 98683-8103 | 2007-06-20 |
| 1376680108 | Maren Vanatta | Occupational Therapist | 2911 Se Village Loop, Vancouver, WA 98683-8103 | 2007-01-31 |
| 1780721522 | Rebecca Zimmerman | Physical Therapist | 2911 Se Village Loop, Vancouver, WA 98683-8103 | 2007-01-31 |
| 1568509446 | Melanie A Serpa | Occupational Therapist | 2911 Se Village Loop, Vancouver, WA 98683-8103 | 2007-01-31 |
| 1780764332 | Touchmark At Fairway Village LLC | Clinic/Center | 2911 Se Village Loop, Vancouver, WA 98683-8103 | 2006-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235761222 | Nathaniel James Eugene Powell | Behavior Technician | 4101se 192nd Ave, Ste 101, Vancouver, WA 98683 | 2020-02-07 |
| 1295294973 | Ubmhc1, LLC | Clinical Medical Laboratory | 18110 Southeast 34th St, Building 2, Suite 240, Vancouver, WA 98683 | 2019-03-13 |
| 1982116695 | Amy K Adams | Massage Therapist | 2716 Se 169th Ave, X-232, Vancouver, WA 98683 | 2017-11-03 |
| 1477088920 | Alexandra Ransonet | Dental Hygienist | 19111 Se 34th. St., Vancouver, WA 98683 | 2017-04-21 |
| 1639618630 | Digestive Gi Care | Internal Medicine | 305 Sw Chkalov Dr, 111-140, Vancouver, WA 98683 | 2017-02-23 |
| 1447706742 | Jennifer Horst | Massage Therapist | 3401 Se 192nd. Ave. Suite 107, Vancouver, WA 98683 | 2016-08-28 |
| 1154702728 | Kacie Marie Hamreus | Physician Assistant | 3101 Se 192nd Avenue, Vancouver, WA 98683 | 2015-06-09 |
| 1851782338 | Kathryn Wiedeman | Physical Therapy Assistant | 801 Se Park Crestt Ave, Vancouver, WA 98683 | 2015-02-05 |
| 1407255326 | Jesse Ryan Moses | Dentist | 16600 Se 15th Street, Suite A, Vancouver, WA 98683 | 2014-08-15 |
| 1366869893 | Stephen J Wold II | Podiatrist | 16701 Ne Mcgillivray Blvd, Ste 220, Vancouver, WA 98683 | 2014-03-21 |
| Find all providers in zip 98683 | ||||
| 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 |
|---|---|---|---|---|
| 1023644424 | Gavin Lee | Physical Therapist | 23605 Ne 108th St, Vancouver, WA 98682-9549 | 2020-03-17 |
| 1134751639 | Maarten Alexander Harris | Physical Therapist | 2525 Ne 139th St Ste 170, Vancouver, WA 98686-2719 | 2020-02-12 |
| 1245887272 | Elevate Physical Therapy | Physical Therapist | 9228 Ne Highway 99 Ste 105, Vancouver, WA 98665-8984 | 2019-08-23 |
| 1861957060 | Therapydia California Physical Therapy, PC. | Physical Therapist | 1125 Se 163rd Pl, Vancouver, WA 98683-4467 | 2019-02-01 |
| 1770050213 | Steven Xavier Cabrales Jr. | Physical Therapist | 300 Grand Blvd Ste B200, Vancouver, WA 98661-4937 | 2018-11-01 |
| 1972082345 | Charles Thomas Williams | Physical Therapist | 8040 E Mill Plain Blvd, Vancouver, WA 98664-2002 | 2018-08-07 |
| 1194202101 | Elaina Marie Gayles | Physical Therapist | 2415 Ne 134th St Ste 201, Vancouver, WA 98686-3032 | 2018-07-23 |
| 1083109755 | Kallie A Wikman | Physical Therapist | 100 E 33rd St Ste 204, Vancouver, WA 98663 | 2018-06-26 |
| 1538660436 | Catherine A Doyle | Physical Therapist | 1308 Ne 134th St Ste 110, Vancouver, WA 98685-2726 | 2018-02-26 |
| 1326548165 | Tawny Kehaulani Souza | Physical Therapist | 2012 E 11th St, Vancouver, WA 98661-4110 | 2018-02-19 |
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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.