VITA POST ACUTE MEDICAL, PLLC (NPI# 1477187763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477187763 |
| Entity Type | Organization |
| Organization Name | VITA POST ACUTE MEDICAL, PLLC |
| Practice Address |
1455 Nw Irving St Ste 200 Portland OR 97209-2275 |
| Practice Telephone | 8556218250 |
| Mailing Telephone | 8556218250 |
| Enumeration Date | 2020-02-26 |
| Last Update Date | 2020-04-15 |
| Authorized Official Name | MIKE KUBIK (OWNER) |
| Authorized Official Telephone | 8556218250 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | VITA POST ACUTE MEDICAL, PLLC | 1201 Pacific Ave Ste C6, Tacoma, WA 98402-4393 |
| Oregon Corporations, Companies and Business Names | VITA POST ACUTE MEDICAL, PLLC | 1455 Nw Irving St, #200, Portland, OR 97209 |
| Street Address |
1455 NW IRVING ST STE 200 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97209-2275 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992266746 | Alora Brooke Gress | Behavior Technician | 1455 Nw Irving St Ste 200, Portland, OR 97209-2275 | 2019-03-26 |
| 1346858404 | Keenan Michael Griego | Nurse Practitioner | 1455 Nw Irving St Ste 200, Portland, OR 97209-2275 | 2020-07-15 |
| 1639703838 | Jessica Martinez | Behavior Technician | 1455 Nw Irving St Ste 200, Portland, OR 97209-2275 | 2020-02-26 |
| 1770114712 | Gabrielle Herrera | Behavior Technician | 1455 Nw Irving St Ste 200, Portland, OR 97209-2275 | 2020-01-29 |
| 1760021224 | Alexa Devon Harris | Behavior Technician | 1455 Nw Irving St Ste 200, Portland, OR 97209-2275 | 2020-01-02 |
| 1982255881 | Kelle Nelson-debruin | Behavior Technician | 1455 Nw Irving St Ste 200, Portland, OR 97209-2275 | 2019-09-23 |
| 1942850185 | Julissa Perdomo | Behavior Technician | 1455 Nw Irving St Ste 200, Portland, OR 97209-2275 | 2019-09-19 |
| 1669020525 | Jessica Kramarz | Behavior Technician | 1455 Nw Irving St Ste 200, Portland, OR 97209-2275 | 2019-09-03 |
| 1942858972 | Brittney Silva | Behavior Technician | 1455 Nw Irving St Ste 200, Portland, OR 97209-2275 | 2019-09-03 |
| 1265090450 | Elisa Marie Rega | Behavior Technician | 1455 Nw Irving St Ste 200, Portland, OR 97209-2275 | 2019-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508476250 | Harrington Health Clinic | Nurse Practitioner | 310 Nw Glisan Street, Portland, OR 97209 | 2020-08-07 |
| 1619599636 | Rivers Way Training Clinic | Community/Behavioral Health | 2049 Nw Hoyt, Portland, OR 97209 | 2020-05-13 |
| 1518590538 | Julie Kay Igarta | Registered Nurse | 140 Northwest 14th Avenue, Portland, OR 97209 | 2020-02-18 |
| 1407492002 | Oregon Injection Clinic | Clinic/Center | 1500 Nw Lovejoy, 106, Portland, OR 97209 | 2019-11-19 |
| 1487202883 | Ann Tesora | Massage Therapist | 1320 Northwest 20th Avenue, Portland, OR 97209 | 2019-08-28 |
| 1972160455 | Vincent Martin | Massage Therapist | 210 Sw 17th Avenue, Portland, OR 97209 | 2019-05-21 |
| 1154896546 | Jennifer Marie Dodd | Social Worker | 1722 Nw Raleigh St Spc 412, Portland, OR 97209 | 2018-10-11 |
| 1922551910 | Ashley Crowell | Physician Assistant | 949 Nw Overton St Unit 306, Portland, OR 97209 | 2016-07-26 |
| 1326408394 | Jennifer Blain | Counselor | 324 Nw Davis, Portland, OR 97209 | 2016-03-03 |
| 1275993255 | Lauren Dodson | Licensed Practical Nurse | 324 Nw Davis St, Portland, OR 97209 | 2016-03-03 |
| Find all providers in zip 97209 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457987836 | Gurleen K Grewal | Physical Medicine & Rehabilitation | 402 Nw 12th Ave, Portland, OR 97209-2907 | 2020-03-18 |
| 1558842054 | Ryan Thomas Willoughby | Physical Medicine & Rehabilitation | 15640 Nw Laidlaw Rd Ste 202, Portland, OR 97229-3828 | 2018-08-23 |
| 1659874238 | Karrie Silva, Lmt | Physical Medicine & Rehabilitation | 1427 Nw 23rd Ave Ste 1, Portland, OR 97210-2645 | 2018-03-09 |
| 1477921021 | Kara Rich | Physical Medicine & Rehabilitation | 1706 Ne 114th Ave, Portland, OR 97220 | 2015-09-11 |
| 1003135658 | New Leaf Physical and Massage Therapy, LLC | Physical Medicine & Rehabilitation | 4050 Ne Broadway St, Portland, OR 97232-1828 | 2010-05-21 |
| 1427381029 | Heather Block | Physical Medicine & Rehabilitation | 13243 Se Buford Ct, Portland, OR 97236-3186 | 2009-09-14 |
| 1386873040 | Bessie Joy Perkey | Physical Medicine & Rehabilitation | 507 Ne 47th Ave Ste 102d, Portland, OR 97213-2236 | 2009-07-02 |
| 1609002492 | Paul Gerrard | Physical Medicine & Rehabilitation | 110 Marginal Way, Portland, ME 04101-2442 | 2009-06-08 |
| 1013112721 | Stephanie K Liu | Physical Medicine & Rehabilitation | 10940 Sw Barnes Rd # 375, Portland, OR 97225-5368 | 2007-06-21 |
| 1982807590 | John Halisey Kennedy | Physical Medicine & Rehabilitation | 4040 Sw 53rd Pl, Portland, OR 97221-2015 | 2007-06-09 |
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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.