Elizabeth Ann Henderson (NPI# 1346800661, PAC ID# 8022343979) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1346800661 |
| PAC ID by PECOS | 8022343979 |
| Professional Enrollment ID | I20190715001503 |
| Full Name | Elizabeth Ann Henderson |
| Organization Legal Name | NEW PROACTIVE LLC |
| Address |
308 N Ivy St Canby OR 97013-3704 |
| Phone Number | 5032636786 |
| Gender | F |
| Medical School | UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER AT FORT WORTH |
| Graduation Year | 2019 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 7315218708 |
| Number of Group Practice Members | 38 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 308 N Ivy St, Canby, OR 97013-3704 | 5032636786 | NEW PROACTIVE LLC |
| 1630 Beavercreek Rd, Suite A, Oregon City, OR 97045-4156 | 5036070047 | 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 |
| Elliott Ballentine | Physical Therapy | New Proactive LLC | 100 E 33rd St, Suite 206b, Vancouver, WA 98663-2725 |
| Street Address |
308 N IVY ST |
| City | CANBY |
| State | OR |
| Zip | 97013-3704 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Richard Ryan | Physical Therapy | New Proactive LLC | 308 N Ivy St, Canby, OR 97013-3704 |
| Tyler Bohnet | Physical Therapy | New Proactive LLC | 308 N Ivy St, Canby, OR 97013-3704 |
| Josh Edward Hansen | Physical Therapy | New Proactive LLC | 308 N Ivy St, Canby, OR 97013-3704 |
| Rebecca D Nelson | Physical Therapy | New Proactive LLC | 308 N Ivy St, Canby, OR 97013-3704 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charlo Brandon Crumpacker | Physical Therapy | North Lake Physical Therapy and Rehab Lp | 365 S Redwood St, Canby, OR 97013-2405 |
| Mackenzie Bartelli | Physical Therapy | North Lake Physical Therapy and Rehab Lp | 365 S Redwood St, Canby, OR 97013-2405 |
| John Alan Zieg | Optometry | 310 Nw 3rd Ave, Canby Vision Clinic, Canby, OR 97013-3603 | |
| Janae Z Brill | Family Medicine | Davies Clinic PC | 345 N Grant St, Canby, OR 97013-3610 |
| Deona L Bridgeman | Family Medicine | Davies Clinic PC | 345 N Grant St, Canby, OR 97013-3610 |
| Joanna Anders | Nurse Practitioner | Davies Clinic PC | 345 N Grant St, Canby, OR 97013-3610 |
| Ashley K Mcferron | Optometry | Ashley K Mcferron Od PC | 364 N Ivy St, Canby, OR 97013-3704 |
| Meghan L Malensky | Optometry | Ashley K Mcferron Od PC | 364 N Ivy St, Canby, OR 97013-3704 |
| Jeffrey D Hartwell | Chiropractic | 170 Nw 2nd Ave, Canby, OR 97013-3729 | |
| Patrick J Gregg | Ophthalmology | 160 Nw 2nd Ave, Canby, OR 97013-3729 | |
| Find all physicians in zip 97013 | |||
| City | CANBY |
| Zip Code | 97013 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | CANBY + 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.