| Healthpro Heritage Rehab & Fitness, Llc | |
|
377 Nw Jasper St, Dallas, OR 97338-1279 | |
| (864) 244-3626 | |
| Not Available |
| Full Name | Healthpro Heritage Rehab & Fitness, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 377 Nw Jasper St, Dallas, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376272732 | NPI | - | NPPES |
| Provider Name | Nancy A Green |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700026465 PECOS PAC ID: 7618024092 Enrollment ID: I20090422000510 |
| Provider Name | Brenda M Long |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396907390 PECOS PAC ID: 0840412979 Enrollment ID: I20141105001214 |
| Provider Name | Laura K Calles |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447611744 PECOS PAC ID: 4486953734 Enrollment ID: I20160509000917 |
| Provider Name | Jessica A Reich |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063861904 PECOS PAC ID: 3173894987 Enrollment ID: I20170811001267 |
| Provider Name | Mini Gupta |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215443999 PECOS PAC ID: 7416388137 Enrollment ID: I20200513002536 |
| Provider Name | Valarie Angeline Takayama |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487847760 PECOS PAC ID: 3870989411 Enrollment ID: I20220406002435 |
| Provider Name | Ashley D Knecht |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740928944 PECOS PAC ID: 8123407137 Enrollment ID: I20220622002025 |
| Provider Name | Eric Taylor |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1386376010 PECOS PAC ID: 2163805029 Enrollment ID: I20220810002972 |
| Provider Name | Molly Ann Fauske |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013495704 PECOS PAC ID: 8123402146 Enrollment ID: I20220825000382 |
| Provider Name | Gijsbert Jeroen Laport |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194987107 PECOS PAC ID: 8921483835 Enrollment ID: I20220913002903 |
| Provider Name | Teresa Marie Schmidt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427268457 PECOS PAC ID: 9234306317 Enrollment ID: I20230316000137 |
| Provider Name | Cole Manoukian |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609348960 PECOS PAC ID: 3779911193 Enrollment ID: I20230412001818 |
| Provider Name | Debra Jeanne Rollins |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740989664 PECOS PAC ID: 7214302603 Enrollment ID: I20230418000447 |
| Provider Name | Laura Zimmerman |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508237389 PECOS PAC ID: 6406296144 Enrollment ID: I20240429003130 |
| Provider Name | Brent Rawle Cramer |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235387853 PECOS PAC ID: 8426592304 Enrollment ID: I20240702003566 |
| Provider Name | Katherine Turner |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043680671 PECOS PAC ID: 0840735460 Enrollment ID: I20240708003330 |
| Provider Name | Virginia K Daniel |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1437898244 PECOS PAC ID: 2365987864 Enrollment ID: I20240709001861 |
| Provider Name | Brittany Victoria Dickason |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235979311 PECOS PAC ID: 8426593690 Enrollment ID: I20240711002854 |
| Provider Name | Janel De Moses |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659733988 PECOS PAC ID: 6002352424 Enrollment ID: I20240722003450 |
| Provider Name | Fatima Sacirovic |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1689396962 PECOS PAC ID: 2466998315 Enrollment ID: I20240726002745 |
| Provider Name | Steven Kenneth Larson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1851123061 PECOS PAC ID: 4587103767 Enrollment ID: I20240902000530 |
| Provider Name | Lea Camille Domingo Keenantasker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245061019 PECOS PAC ID: 5294275533 Enrollment ID: I20240912002882 |
| Provider Name | Amber Plaunty |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1780004309 PECOS PAC ID: 7618418690 Enrollment ID: I20240917004698 |
| Provider Name | Mary Madison |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346773124 PECOS PAC ID: 5991074767 Enrollment ID: I20240926001481 |
| Provider Name | Hannah College |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730772732 PECOS PAC ID: 9638600935 Enrollment ID: I20240926003417 |
| Provider Name | Keegan Schaub |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851988430 PECOS PAC ID: 7012324916 Enrollment ID: I20241120003058 |
| Provider Name | Sukanta Richard Nelson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396567228 PECOS PAC ID: 6709311574 Enrollment ID: I20241203002424 |
| Mailing Address | Practice Location Address |
|---|---|
| Healthpro Heritage Rehab & Fitness, Llc Po Box 69211, Baltimore, MD 21264-9211 Ph: (615) 406-3997 | Healthpro Heritage Rehab & Fitness, Llc 377 Nw Jasper St, Dallas, OR 97338-1279 Ph: (864) 244-3626 |
Timothy Ryan Jamar, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 377 Nw Jasper St, Dallas, OR 97338 Phone: 503-623-5581 | |
Rolf Jett Vognild, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17550 Gardner Rd, Dallas, OR 97338 Phone: 503-623-4084 | |
Melinda Walker, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 322 Main St # 326, Dallas, OR 97338 Phone: 503-837-1316 | |
Troy J Hattan, PHYSICAL THERAPIST Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 525 Se Washington St, Dallas, OR 97338 Phone: 503-623-7305 Fax: 503-623-7325 | |
Braedon Clay Miller, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 641 Se Miller Ave, Dallas, OR 97338 Phone: 503-623-7305 | |
Mr. Alan M Noble, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 210 W Ellendale Ave Ste 100, Dallas, OR 97338 Phone: 503-623-2433 Fax: 503-623-2196 | |
Dr. Lea Camille Domingo Keenantasker, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 377 Nw Jasper St, Dallas, OR 97338 Phone: 503-623-5581 |