DEBRA ANDERSON (NPI# 1689152597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689152597 |
| Entity Type | Individual |
| Full Name | DEBRA ANDERSON |
| Other Name | DEBRA DOMERMUTH |
| Practice Address |
300 Glen Creek Rd Nw Salem OR 97304 |
| Mailing Address |
1515 Nw 18th Ave Ste 400 Portland OR 97209-2516 |
| Practice Telephone | 5039908627 |
| Practice Fax Number | 5039908630 |
| Mailing Telephone | 4236828840 |
| Mailing Fax Number | 4236022028 |
| Enumeration Date | 2018-08-02 |
| Last Update Date | 2019-07-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 62903 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528611803 | Debra Ann Anderson | Homemaker | 4150 E 136th St, Cleveland, OH 44105-5568 | 2019-07-16 |
| 1497225544 | Debra Anderson | Registered Nurse | 3448 County Line Rd, Corfu, NY 14036-9406 | 2018-12-03 |
| 1053890624 | Debra Anderson | Licensed Practical Nurse | 106 Verna Joe, Whitney, TX 76692-5800 | 2018-08-14 |
| 1295193894 | Debra Anderson | Counselor | 408 Winston Way, Frankfort, KY 40601-4552 | 2016-02-10 |
| 1962830661 | Debra Anderson | Occupational Therapist | 606 Duff Rd Ne, Leesburg, VA 20176-4961 | 2013-10-16 |
| 1184972168 | Debra Anderson | Licensed Practical Nurse | 22506 230th St, Milford, IA 51351-7107 | 2012-08-22 |
| 1306133095 | Debra L Anderson | Registered Nurse | 404 N Chestnut Street, Johnson, KS 67855-0639 | 2011-07-01 |
| 1972784650 | Debra J Anderson | Case Manager/Care Coordinator | 130 W Bastanchury Rd, Fullerton, CA 92835-2502 | 2007-11-21 |
| 1922139195 | Debra S Anderson | Dermatology | 4460 Red Bank Rd Ste 130, Cincinnati, OH 45227-2173 | 2007-03-08 |
| 1497200364 | Debra Lynn Anderson | Pharmacist | 1610 Church St Ste U, Conway, SC 29526-2932 | 2016-08-22 |
| Street Address |
300 GLEN CREEK RD NW |
| City | SALEM |
| State | OR |
| Zip Code | 97304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861448870 | Darcy S Tataryn | Physical Therapist | 300 Glen Creek Rd Nw, Salem, OR 97304-3058 | 2006-05-25 |
| 1154934776 | Mark Penewit | Physical Therapist | 300 Glen Creek Rd Nw, Salem, OR 97304-3058 | 2020-08-24 |
| 1639659980 | Andrew Verheyden | Physical Therapist | 300 Glen Creek Rd Nw, Salem, OR 97304-3058 | 2018-08-16 |
| 1730667510 | Luke Hammer | Physical Therapist | 300 Glen Creek Rd Nw, Salem, OR 97304-3058 | 2018-08-02 |
| 1992155329 | Audrey A Kuenzi | Physical Therapy Assistant | 300 Glen Creek Rd Nw, Salem, OR 97304-3058 | 2016-06-16 |
| 1598115990 | Benchmark Physical Therapy of Oregon LLC | Massage Therapist | 300 Glen Creek Rd Nw, Salem, OR 97304-3058 | 2016-06-16 |
| 1215386172 | Maria J Papendieck | Physical Therapy Assistant | 300 Glen Creek Rd Nw, Salem, OR 97304-3058 | 2016-06-10 |
| 1861841090 | Rhonda Brown | Physical Therapy Assistant | 300 Glen Creek Rd Nw, Salem, OR 97304-3058 | 2016-06-08 |
| 1538533807 | Tracy B Jolivette | Massage Therapist | 300 Glen Creek Rd Nw, Salem, OR 97304-3058 | 2015-11-24 |
| 1750713632 | Marina Ozerova | Massage Therapist | 300 Glen Creek Rd Nw, Salem, OR 97304-3058 | 2013-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114413010 | Sam Mackenzie Lane | Massage Therapist | 1661 Edgewater St Nw # 120, Salem, Or 97304, Salem, OR 97304 | 2018-07-03 |
| 1144761131 | Rachel E Carson | Physical Therapist | 1025 2nd St. Nw, West Salem, OR 97304 | 2017-03-10 |
| 1962951061 | Lee Ann Nail | Social Worker | 3965 Gibson Rd Nw, Salem, OR 97304 | 2016-09-29 |
| 1619421591 | Logan Walters | Physical Therapist | 1025 2nd St Nw, Salem, OR 97304 | 2016-08-09 |
| 1770941338 | Tysandra Gillis | Massage Therapist | 859 Mule Deer St., Salem, OR 97304 | 2016-02-10 |
| 1144620295 | Molly Rodden | Nurse Practitioner | 1174 Cornucopia St Nw Ste 240, Salem, OR 97304 | 2014-08-26 |
| 1881942126 | Cynthia Ruth Rettler | Registered Nurse | 1520 Plaza St Nw Ste 150, Salem, OR 97304 | 2012-08-16 |
| 1336401017 | Trillium Family Services | Community/Behavioral Health | 1520 Plaza Street Nw, Suite 100, Salem, OR 97304 | 2012-06-08 |
| 1033428198 | Kathleen Ketelson | Nurse Practitioner | 560 Wallace Rd Nw Ste 140, Salem, OR 97304 | 2010-10-06 |
| 1922332535 | Robert Scott Mcadam | Social Worker | 1245 Edgewater St. Nw, Salem, OR 97304 | 2009-09-29 |
| Find all providers in zip 97304 | ||||
| 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 |
|---|---|---|---|---|
| 1356953913 | Brittany Smart | Physical Therapist | 7137 236th Ave Ste 101, Salem, WI 53168-8975 | 2020-08-17 |
| 1710509229 | Joseph Peter Pepe | Physical Therapist | 35 Congress St Ste 211, Salem, MA 01970-5529 | 2020-05-07 |
| 1235796293 | Elise Miranda Princehouse | Physical Therapist | 4049 Market St Ne, Salem, OR 97301-1902 | 2019-05-24 |
| 1013482132 | Kellie Linn Hansen | Physical Therapist | 4049 Market St Se, Salem, OR 97301 | 2018-10-04 |
| 1649762733 | Joseph Bochsler | Physical Therapist | 3220 Liberty Rd. S., Salem, OR 97302 | 2018-06-04 |
| 1386148336 | Kimberly Hunley | Physical Therapist | 4 Dunbar Ter, Salem, NH 03079-3123 | 2018-03-22 |
| 1255846309 | Chester Delfin | Physical Therapist | 515 Taggart Dr Nw Ste 150, Salem, OR 97304-4149 | 2017-12-12 |
| 1972021020 | India Shae Davidson | Physical Therapist | 1441 W Main St, Salem, VA 24153-3120 | 2017-09-08 |
| 1184141913 | Kyle Macri | Physical Therapist | 84 Highland Ave Ste 201, Salem, MA 01970-2736 | 2017-08-23 |
| 1902356892 | Heather Popp | Physical Therapist | 4 Ames St, Salem, MA 01970-2610 | 2016-10-04 |
| Find all providers in SALEM | ||||
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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.