Elliott Ballentine (NPI# 1174973473, PAC ID# 2769770478) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1174973473 |
| PAC ID by PECOS | 2769770478 |
| Professional Enrollment ID | I20161012002915 |
| Full Name | Elliott Ballentine |
| Organization Legal Name | NEW PROACTIVE LLC |
| Address |
100 E 33rd St Suite 206b Vancouver WA 98663-2725 |
| Phone Number | 3608230138 |
| Gender | M |
| Medical School | UNIVERSITY OF KANSAS SCHOOL OF MEDICINE |
| Graduation Year | 2016 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 7315218708 |
| Number of Group Practice Members | 38 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 100 E 33rd St, Suite 206b, Vancouver, WA 98663-2725 | 3608230138 | NEW PROACTIVE LLC |
| Organization Legal Name | NEW PROACTIVE LLC |
| Physicians | 47 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Corinne Ashely Hieatt | Physical Therapy | New Proactive LLC | 1470 Ne 3rd St, Prineville, OR 97754-2906 |
| Ryan Kristin Kaser | Physical Therapy | New Proactive LLC | 450 Nw Greenwood Ave, Redmond, OR 97756-1531 |
| Daniel Richard Ryan | Physical Therapy | New Proactive LLC | 308 N Ivy St, Canby, OR 97013-3704 |
| John Sterling Zdor | Physical Therapy | New Proactive LLC | 1808 Sw 9th Ave, Suite 101, Battle Ground, WA 98604-3284 |
| Bryce P Schuster | Physical Therapy | New Proactive LLC | 100 E 33rd St, Suite 206b, Vancouver, WA 98663-2725 |
| Kenneth W Smith | Physical Therapy | New Proactive LLC | 1251 Ne Elm St, Suite 2a, Prineville, OR 97754-3143 |
| Ernest J Sturzinger | Physical Therapy | New Proactive LLC | 1630 Beavercreek Rd, Suite A, Oregon City, OR 97045-4156 |
| Glen R Akers | Physical Therapy | New Proactive LLC | 25500 Se Stark St, Suite 103, Gresham, OR 97030-8327 |
| Sara H Grafil | Physical Therapy | New Proactive LLC | 450 Nw Greenwood Ave, Redmond, OR 97756-1531 |
| Catharine N Keller | Physical Therapy | New Proactive LLC | 1808 Sw 9th Ave, Suite 101, Battle Ground, WA 98604-3284 |
| Street Address |
100 E 33RD ST SUITE 206B |
| City | VANCOUVER |
| State | WA |
| Zip | 98663-2725 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bryce P Schuster | Physical Therapy | New Proactive LLC | 100 E 33rd St, Suite 206b, Vancouver, WA 98663-2725 |
| Kevin D Deweber | Family Medicine | Peacehealth Southwest Medical Center | 100 E 33rd St, Suite 100, Vancouver, WA 98663-2776 |
| David Paik | Family Medicine | Peacehealth Southwest Medical Center | 100 E 33rd St, Suite 100, Vancouver, WA 98663-2776 |
| Sherri L Rutherford | Family Medicine | Peacehealth Southwest Medical Center | 100 E 33rd St, Suite 100, Vancouver, WA 98663-2776 |
| Olivia R Wright | Family Medicine | Peacehealth Southwest Medical Center | 100 E 33rd St, Suite 100, Vancouver, WA 98663-2776 |
| Evan J Price | Physical Therapy | New Proactive LLC | 100 E 33rd St, Suite 206b, Vancouver, WA 98663-2725 |
| Pan Zhang | Physical Therapy | New Proactive LLC | 100 E 33rd St, Suite 206b, Vancouver, WA 98663-2725 |
| Jack E Long | Endocrinology | Peacehealth Southwest Medical Center | 100 E 33rd St, Suite 100, Vancouver, WA 98663-2776 |
| Diana M Tiganus | Family Medicine | Peacehealth Southwest Medical Center | 100 E 33rd St, Suite 100, Vancouver, WA 98663-2776 |
| Maria Anna Koscinska | Internal Medicine | Hudson's Bay Medical Group, Inc., P.s | 100 E 33rd St, Suite 206, Vancouver, WA 98663-2776 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David W Agnor | Psychologist, Clinical | Senior Psychology LLC | 5220 Ne Hazel Dell Ave, Vancouver, WA 98663-1242 |
| Laura Anne Farley | Psychologist, Clinical | Senior Psychology LLC | 5220 Ne Hazel Dell Ave, Vancouver, WA 98663-1242 |
| Linda C Humphrey | Nurse Practitioner | Providence Health and Services Oregon | 3101 Se 192nd Ave, 106 Pmg Camas, Vancouver, WA 98663-1443 |
| Simranjit K Kang | Family Medicine | Providence Health and Services Oregon | 3101 Se 192nd Ave, 106 Pmg Camas, Vancouver, WA 98663-1443 |
| Zheru Li | Family Medicine | Providence Health and Services Oregon | 3101 Se 192nd Ave, 106 Pmg Camas, Vancouver, WA 98663-1443 |
| Megan M Lindley | Registered Dietitian Or Nutrition Professional | Providence Health and Services Oregon | 3101 Se 192nd Ave, 106 Pmg Camas, Vancouver, WA 98663-1443 |
| Jon M Hartinger | Family Medicine | Providence Health and Services Oregon | 3101 Se 192nd Ave, 106 Pmg Camas, Vancouver, WA 98663-1443 |
| Cassandra R Long | Chiropractic | Bc Chiropractic Clinic | 4001 Main St, Suite 200, Vancouver, WA 98663-1887 |
| Matthew Cooper | Chiropractic | Bc Chiropractic Clinic | 4001 Main St, Suite 200, Vancouver, WA 98663-1887 |
| Karis M Cooper | Chiropractic | Bc Chiropractic Clinic | 4001 Main St, Suite 200, Vancouver, WA 98663-1887 |
| Find all physicians in zip 98663 | |||
| City | VANCOUVER |
| Zip Code | 98663 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | VANCOUVER + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Elliott Ballentine.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.