CASCADE 205 ORTHOPEDIC AND SPORTS PHYSICAL THERAPY, PC (NPI# 1356348106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356348106 |
Entity Type | Organization |
Organization Name | CASCADE 205 ORTHOPEDIC AND SPORTS PHYSICAL THERAPY, PC |
Practice Address |
9260 Se Stark St Suite B Portland OR 97216-1640 |
Practice Telephone | 5032551500 |
Practice Fax Number | 5032551560 |
Mailing Telephone | 5032551500 |
Mailing Fax Number | 5032551560 |
Enumeration Date | 2005-07-07 |
Last Update Date | 2008-10-02 |
Authorized Official Name | JULIE MCALLISTER (OWNER/DIRECTOR/THERAPIST) |
Authorized Official Telephone | 5032551500 |
Authorized Official Credential | MSPT |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 305R00000X | Preferred Provider Organization | 2319 | OR | Managed Care Organizations |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OR | 297214 | 05 |
Street Address |
9260 SE STARK ST SUITE B |
City | PORTLAND |
State | OR |
Zip Code | 97216-1640 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093225302 | Julia Bisnett | Massage Therapist | 9260 Se Stark St, Portland, OR 97216-1675 | 2017-10-02 |
1902112154 | Brian Steven Yellin | Physical Therapist | 9260 Se Stark St, Ste B, Portland, OR 97216-1640 | 2010-08-25 |
1548241995 | C Thomas Provenzano | Physical Therapist | 9260 Se Stark St, Suite B, Portland, OR 97216-1675 | 2005-11-10 |
1114908571 | Julie Mcallister | Physical Therapist | 9260 Se Stark St, Suite B, Portland, OR 97216-1675 | 2005-11-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316468341 | Accident Care Chiropractic and Massage of Salem | Clinic/Center | 2168 Lancaster Dr. Ne, Portland, OR 97216 | 2017-06-29 |
1528508520 | Damone Brown | Peer Specialist | 10209 Se Washington St, Suite D, Portland, OR 97216 | 2017-02-24 |
1861937237 | Malachai Investments LLC | Clinical Medical Laboratory | 10,000 Se Main St, Ste 360, Portland, OR 97216 | 2016-12-21 |
1881136836 | Krista Marie Darnell | Occupational Therapy Assistant | 1475, Se 100th Avenue, Portland, OR 97216 | 2016-11-08 |
1821456559 | Sean Kelly | Counselor | 10564 Se Washington Street, Portland, OR 97216 | 2016-02-09 |
1174908321 | Phil Bergland | Counselor | 11220 Se Stark St, Suite 6, Portland, OR 97216 | 2015-07-29 |
1134507346 | Beth Lopez | Massage Therapist | 5814 Se Stark Street, Portland, OR 97216 | 2015-05-08 |
1982081477 | Amelia C Hunt | Counselor | 10564 Se Washinton Street, Portland, OR 97216 | 2015-05-04 |
1073907978 | Karen Ta | Emergency Medicine | 10300 Se Main St, Portland, OR 97216 | 2015-03-27 |
1265823298 | Laura Catherine Anderson | Occupational Therapist | 1475 Se 100th Avenue, Portland, OR 97216 | 2015-02-12 |
Find all providers in zip 97216 |
Taxonomy Code | 305R00000X |
Grouping | Managed Care Organizations |
Classification | Preferred Provider Organization |
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215387402 | Fabiana Garcia | Preferred Provider Organization | 18139 Ne Couch St, Portland, OR 97230-7281 | 2016-06-17 |
1730538273 | Paula Lowden | Preferred Provider Organization | 1023 Se Lambert St, Portland, OR 97202-6329 | 2016-06-06 |
1225445166 | Northwest Acupuncture | Preferred Provider Organization | 10224 Sw Park Way # A, Portland, OR 97225-5010 | 2014-07-11 |
1770905879 | Willamette Dental | Preferred Provider Organization | 17804 Nw Marylhurst Dr, Portland, OR 97229-7913 | 2014-01-09 |
1366882318 | Radu Pescarus | Preferred Provider Organization | 408 Nw 12th Ave Apt 304, Portland, OR 97209-2945 | 2013-07-04 |
1679703458 | Intercultual Psychiatric Progam | Preferred Provider Organization | 3633 Se 35th Place, Portland, OR 97202 | 2009-07-15 |
1811940422 | Healthcare Resources Northwest Inc | Preferred Provider Organization | 305 Ne 102nd Ave, Suite 250, Portland, OR 97220-4161 | 2006-05-18 |
1053857482 | Ian Wilkinson Lac | Preferred Provider Organization | 4829 Ne Martin Luther King Blvd, Suite 101, Portland, OR 97211-3491 | 2017-01-09 |
1194195453 | Makai Massage & Spa, LLC | Preferred Provider Organization | 3758 Se Milwaukie Ave, Portland, OR 97202-3805 | 2015-09-30 |
1679942007 | Makai Massage & Spa | Preferred Provider Organization | 3758 Se Milwaukie Ave, Portland, OR 97202-3805 | 2015-09-16 |
Find all providers in PORTLAND |
Please comment or provide details below to improve the information on CASCADE 205 ORTHOPEDIC AND SPORTS PHYSICAL THERAPY, PC.
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.