Keyna Michelle Carpenter (NPI# 1114247418, PAC ID# 4587797337) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1114247418 |
| PAC ID by PECOS | 4587797337 |
| Professional Enrollment ID | I20191028002114 |
| Full Name | Keyna Michelle Carpenter |
| Organization Legal Name | PREMERE REHAB LLC |
| Address |
1200 Overlook Dr The Stafford Lake Oswego OR 97034-6605 |
| Phone Number | 5034963755 |
| Gender | F |
| Graduation Year | 2010 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 2567434764 |
| Number of Group Practice Members | 60 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1200 Overlook Dr, The Stafford, Lake Oswego, OR 97034-6605 | 5034963755 | PREMERE REHAB LLC |
| 3800 Carman Dr, Lake Oswego, OR 97035-2575 | 5036353672 | PREMERE REHAB LLC |
| Organization Legal Name | PREMERE REHAB LLC |
| Physicians | 124 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cara Jean Cage | Physical Therapy | Premere Rehab LLC | 25 Sunshine Ct, Durango, CO 81301-6023 |
| Joshua Lane Yocum | Physical Therapy | Premere Rehab LLC | 2951 Coburg Rd, Eugene, OR 97408-5035 |
| Allison Sills Schwartz | Occupational Therapy | Premere Rehab LLC | 7600 Sandy Rock Pt, Colorado Springs, CO 80924-5222 |
| Jill S Ritchie | Occupational Therapy | Premere Rehab LLC | 1282 Goodpasture Island Rd, Eugene, OR 97401-1755 |
| Kristen S Miller | Physical Therapy | Premere Rehab LLC | 625 27, Grand Junction, CO 81506-5101 |
| Megan Alexandra Zartman | Physical Therapy | Premere Rehab LLC | 7825 W Alameda Ave, Village At Belmar, Lakewood, CO 80226-7651 |
| Oi-ha Cecilia Voo | Occupational Therapy | Premere Rehab LLC | 7175 Kipling St, Arvada, CO 80004-1677 |
| Teresa Ann Lopez | Physical Therapy | Premere Rehab LLC | 3801 Summitview Ave, Yakima, WA 98902-2794 |
| Wendy Michelle Eickmann | Physical Therapy | Premere Rehab LLC | 1380 Charles Dr, Longmont, CO 80503-2354 |
| Rachel Kittelson | Speech Language Pathologist | Premere Rehab LLC | 1502 Fort Crook Rd S, Bellevue, NE 68005-2972 |
| Street Address |
1200 OVERLOOK DR THE STAFFORD |
| City | LAKE OSWEGO |
| State | OR |
| Zip | 97034-6605 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kirsten M Carr | Family Medicine | Premere Rehab LLC | 1200 Overlook Dr, The Stafford, Lake Oswego, OR 97034-6605 |
| Kristin T Okumura | Physical Therapy | Premere Rehab LLC | 1200 Overlook Dr, The Stafford, Lake Oswego, OR 97034-6605 |
| Gayatri Angara | Physical Therapy | Premere Rehab LLC | 1200 Overlook Dr, The Stafford, Lake Oswego, OR 97034-6605 |
| Margaret Jean Thompson | Physical Therapy | Premere Rehab LLC | 1200 Overlook Dr, The Stafford, Lake Oswego, OR 97034-6605 |
| Wenche M Austrheim-ruzich | Occupational Therapy | Premere Rehab LLC | 1200 Overlook Dr, The Stafford, Lake Oswego, OR 97034-6605 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Khalili | Diagnostic Radiology | Los Robles Radiologic Associates | 1956 Highlands Loop, Lake Oswego, OR 97034-1549 |
| Neil Bastian | Physical Therapy | Bastian Physical Therapy, P.C. | 870 5th St, Lake Oswego, OR 97034-2312 |
| Edward E Conrad Jr. | Internal Medicine | 550 3rd St, Lake Oswego, OR 97034-3002 | |
| Joshua Alexander Gepner | Family Medicine | Legacy Meridian Park Hospital | 412 A Ave, Lake Oswego, OR 97034-3075 |
| Kar Yee Wu | Family Medicine | Legacy Meridian Park Hospital | 412 A Ave, Lake Oswego, OR 97034-3075 |
| Patricia Rotella Ligon | Physical Therapy | Benchmark Physical Therapy of Oregon LLC | 440 1st St, Lake Oswego, OR 97034-3123 |
| Angelo Joseph Bologna | Physical Therapy | Benchmark Physical Therapy of Oregon LLC | 440 1st St, Lake Oswego, OR 97034-3123 |
| Eleanor Jones | Physical Therapy | Benchmark Physical Therapy of Oregon LLC | 440 1st St, Lake Oswego, OR 97034-3123 |
| Samantha M Bair Jones | Physical Therapy | Benchmark Physical Therapy of Oregon LLC | 440 1st St, Lake Oswego, OR 97034-3123 |
| Stephen J Olsen | Optometry | Oswego Optique Inc | 466 2nd St, Lake Oswego, OR 97034-3127 |
| Find all physicians in zip 97034 | |||
| City | LAKE OSWEGO |
| Zip Code | 97034 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | LAKE OSWEGO + PHYSICAL THERAPY |
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| 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.