PREMERE REHAB LLC (NPI# 1356976187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356976187 |
| Entity Type | Organization |
| Organization Name | PREMERE REHAB LLC |
| Practice Address |
Infinity Rehab - The Springs At Lake Oswego 3900 Kruse Way Pl Lake Oswego OR 97035 |
| Mailing Address |
25117 Sw Parkway Ave Ste D Wilsonville OR 97070-9697 |
| Practice Telephone | 5034963755 |
| Practice Fax Number | 8664037867 |
| Mailing Telephone | 9712554079 |
| Mailing Fax Number | 8887950947 |
| Enumeration Date | 2020-03-12 |
| Last Update Date | 2020-03-12 |
| Authorized Official Name | LAURA CANTRELL (REGIONAL DIRECTOR OF OUTPATIENT OPS) |
| 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 |
| Other Name | Type Code |
|---|---|
| Infinity Rehab | 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 |
| 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 |
| 1306291307 | Premere Rehab LLC | Occupational Therapist | 15048 W Young St, Surprise, AZ 85374-7484 | 2016-04-27 |
| Street Address |
INFINITY REHAB - THE SPRINGS AT LAKE OSWEGO 3900 KRUSE WAY PL |
| City | LAKE OSWEGO |
| State | OR |
| Zip Code | 97035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700127 | Teresa Siebenaler Scott | Social Worker | 3990 Sw Collins Way, Suite 202, Lake Owsego, OR 97035 | 2020-11-04 |
| 1528671567 | Martin Henry Lees | Internal Medicine | 14 Morningview Lane, Lake Oswego, OR 97035 | 2020-08-28 |
| 1689212193 | Jennifer Chauvin | Nurse Practitioner | 20 Juarez Street, Lake Oswego, OR 97035 | 2019-12-16 |
| 1003396888 | Sarah Guenzburger | Physical Therapist | 3900 Kruse Way Pl, Lake Oswego, OR 97035 | 2018-08-21 |
| 1568964252 | Brett Johnson | Marriage & Family Therapist | 5655 Southwood Dr, Lake Oswego, OR 97035 | 2018-03-08 |
| 1912416561 | Michael Paul Long | Social Worker | 14523 Westlake Drive, Lake Oswego, Or 97035, Lake Oswego, OR 97035 | 2017-09-27 |
| 1467807859 | Misty Lohn | Nurse Practitioner | 5 Centerpointe Dr., Ste 600, Lake Oswego, OR 97035 | 2016-05-04 |
| 1326405473 | Kelsey Prince | Behavioral Analyst | 6400 Sw Rosewood St., Portland (lake Oswego), OR 97035 | 2016-01-20 |
| 1942683388 | Elizabeth Risberg Harrison | Massage Therapist | 190 Oswego Summit, Lake Oswego, OR 97035 | 2015-07-02 |
| 1083019863 | Michelle Fogg | Physical Therapist | 4500 Kruse Way Suite 310, Lake Oswego, OR 97035 | 2014-10-23 |
| Find all providers in zip 97035 | ||||
| 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 |
|---|---|---|---|---|
| 1003396888 | Sarah Guenzburger | Physical Therapist | 3900 Kruse Way Pl, Lake Oswego, OR 97035 | 2018-08-21 |
| 1083019863 | Michelle Fogg | Physical Therapist | 4500 Kruse Way Suite 310, Lake Oswego, OR 97035 | 2014-10-23 |
| 1528316734 | Bonnie Walpert | Physical Therapist | 1498 Meadows Dr, Lake Oswego, OR 97034-6120 | 2012-08-20 |
| 1942571658 | Elizabeth Marie Finley | Physical Therapist | 18906 Kristi Way, Lake Oswego, OR 97035-7920 | 2012-01-26 |
| 1386966182 | Laura Vangorp Evans | Physical Therapist | 14140 Sundeleaf Dr, Lake Oswego, OR 97034-2042 | 2010-02-19 |
| 1043481021 | Gail Lowry | Physical Therapist | 4506 Black Forest Ct, Lake Oswego, OR 97035-5473 | 2008-03-18 |
| 1932227865 | Gloria M Benci | Physical Therapist | 16955 Old River Dr, Lake Oswego, OR 97034-5118 | 2007-03-27 |
| 1124146576 | Anthony V Matt | Physical Therapist | 6405 Rosewood St, Suite B, Lake Oswego, OR 97035-5284 | 2007-03-26 |
| 1255476073 | Margaret J Thompson | Physical Therapist | 1200 Overlook Dr, Lake Oswego, OR 97034-6605 | 2007-02-20 |
| 1407907900 | Dominic Chambers | Physical Therapist | 101 S State St Ste 200g, Lake Oswego, OR 97034-3900 | 2007-01-13 |
| Find all providers in LAKE OSWEGO | ||||
| City | LAKE OSWEGO |
| Zip Code | 97035 |
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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.