PROMOTION ADVANCED FUNCTIONAL REHAB LLC (NPI# 1710932710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710932710 |
| Entity Type | Organization |
| Organization Name | PROMOTION ADVANCED FUNCTIONAL REHAB LLC |
| Other Organization Name | PROMOTION PHYSICAL THERAPY OF SILVERTON |
| Practice Address |
601 N 1st Ave Stayton OR 97383 |
| Mailing Address |
601 N 1st St Stayton OR 97383 |
| Practice Telephone | 5037693123 |
| Practice Fax Number | 5037693123 |
| Mailing Telephone | 5037693123 |
| Mailing Fax Number | 5037693176 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | CARMEN L ANGLIN (MANAGER) |
| Authorized Official Telephone | 5037693123 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225200000X | Physical Therapy Assistant | 8535 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225200000X | Physical Therapy Assistant | 9133 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
2672 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
4422 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
3854 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
2662 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
4435 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 005957 | 05 |
| Other Name | Type Code |
|---|---|
| ProMotion Physical Therapy | Doing Business As Name - Organization |
| ProMotion Physical Therapy of Silverton | Doing Business As Name - Organization |
| ProMotion Physical Therapy of Stayton | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 602a Front St, Silverton, OR 973811428 | 5038744416 | 5038744327 |
| Street Address |
601 N 1ST AVE |
| City | STAYTON |
| State | OR |
| Zip Code | 97383 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366066748 | Everett Plocek | Physical Therapist | 601 N 1st Ave, Stayton, OR 97383-1704 | 2020-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487204228 | Bishop Stayton Lessee LLC | Assisted Living Facility | Elmcroft of Stayton, 2201 3rd Ave., Stayton, OR 97383 | 2019-09-13 |
| 1972097699 | Nathan Daniel Hoover | Pharmacist | 1401 North 10th Ave, Stayton, OR 97383 | 2018-06-16 |
| 1801211560 | Maria A Fife | Nurse Practitioner | 1095 N 1st Ave, Stayton, OR 97383 | 2014-03-04 |
| 1467771295 | Jennifer Clorinda Brewer | Obstetrics & Gynecology | 1373 N. 10th Ave, Stayton, OR 97383 | 2010-05-18 |
| 1578785622 | Lakeside Cottages | Assisted Living Facility | #310-369 Wildflower Drive, Stayton, OR 97383 | 2007-05-02 |
| 1215099627 | Ritchie B Gooch | Family Medicine | 1377 N 10th Avenue, Stayton, OR 97383 | 2006-12-14 |
| 1508352279 | Madison Taylor Eymann | Physical Therapist | 1750 Wilco Rd, Stayton, OR 97383 | 2018-07-06 |
| 1154814390 | Santiam Memorial Hospital | Clinic/Center | 1371 N 10th Ave, Stayton, OR 97383 | 2018-06-12 |
| 1912413147 | Santiam Memorial Hospital | Clinic/Center | 1369 N 10th Ave, Stayton, OR 97383 | 2017-12-26 |
| 1275049850 | Santiam Memorial Hospital | Clinic/Center | 1401 N 10th Ave Ste 200, Stayton, OR 97383 | 2017-12-19 |
| Find all providers in zip 97383 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750800892 | Eric Steven Braman | Physical Therapist | 1750 Wilco Rd, Stayton, OR 97383-1085 | 2017-09-09 |
| 1386056125 | Roland X Cochrun | Physical Therapist | 601 N 1st St, Stayton, OR 97383-1704 | 2014-05-28 |
| 1932448909 | Laura Ann Paquet | Physical Therapist | 601 N 1st St, Stayton, OR 97383-1704 | 2013-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170411 | Mind Body Therapy | Physical Therapist | 11959 Sw Garden Pl, Portland, OR 97223-8249 | 2020-09-24 |
| 1811512320 | Wesley Stoecker | Physical Therapist | 512 Main St., Suite 300, Monmouth, OR 97361 | 2020-06-10 |
| 1629638952 | Alana Vernon | Physical Therapist | 625 N Arrowleaf Trl Bldg G, Sisters, OR 97759-2610 | 2019-06-18 |
| 1992369532 | Mansi S Sabne | Physical Therapist | 2460 Nw Stewart Pkwy Ste 200, Roseburg, OR 97471-1501 | 2019-04-29 |
| 1447813084 | Prokaleo Physical Therapy, LLC | Physical Therapist | 12120 Sw Garden Pl, Tigard, OR 97223-8264 | 2019-04-18 |
| 1376010090 | Meredith Rae Brezinski | Physical Therapist | 18019 Sw Boones Ferry Road, Tigard, OR 97224 | 2018-10-31 |
| 1306324538 | Kristin Connor Messing | Physical Therapist | 4805 Ne Glisan St, Prov Hall 7e06, Portland, OR 97015 | 2018-07-31 |
| 1578041976 | Sheridan Edward Pyeatt | Physical Therapist | 870 S Front St Ste 105, Central Point, OR 97502-2779 | 2018-07-30 |
| 1093204562 | Jessica Hund | Physical Therapist | 9385 Sw Greenburg Rd Ste 100, Portland, OR 97223-3200 | 2018-05-09 |
| 1659899151 | Mariel Hammond | Physical Therapist | 7522 N Lombard St, Portland, OR 97203-3235 | 2017-09-05 |
| Find all providers with the same taxonomy | ||||
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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.