Proactive Physical Therapy | |
1630 Beavercreek Rd Ste A, Oregon City, OR 97045-4156 | |
(503) 607-0047 | |
(503) 607-0051 |
Full Name | Proactive Physical Therapy |
---|---|
Type | Facility |
Speciality | Clinic/center - Physical Therapy |
Location | 1630 Beavercreek Rd Ste A, Oregon City, Oregon |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396273199 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
Provider Name | Ryan M Nall |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1801057765 PECOS PAC ID: 0143393058 Enrollment ID: I20090601000347 |
Provider Name | Bryce P Schuster |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1003128653 PECOS PAC ID: 7416140926 Enrollment ID: I20101015001211 |
Provider Name | Megan A Sporndli |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1780060368 PECOS PAC ID: 2365759487 Enrollment ID: I20150922000362 |
Provider Name | Kevin M Pust |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1831578400 PECOS PAC ID: 9931414364 Enrollment ID: I20150923001242 |
Provider Name | Pan Zhang |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1316278401 PECOS PAC ID: 8022399120 Enrollment ID: I20170104000663 |
Provider Name | Jessica Pace |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1457721409 PECOS PAC ID: 0749566271 Enrollment ID: I20170417000967 |
Provider Name | Evan J Price |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1265955371 PECOS PAC ID: 7810260320 Enrollment ID: I20170905003364 |
Provider Name | Bryce W Peters |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1790209534 PECOS PAC ID: 4789957903 Enrollment ID: I20170908002015 |
Provider Name | Daniel Mcgill |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1992276448 PECOS PAC ID: 4183962897 Enrollment ID: I20190205000607 |
Provider Name | Kallie Arne Wikman |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1083109755 PECOS PAC ID: 0446509137 Enrollment ID: I20191122000828 |
Provider Name | Katelyn Skaugset |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1194386250 PECOS PAC ID: 7911337944 Enrollment ID: I20200415001483 |
Provider Name | Joseph Edward Zacher |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1417562133 PECOS PAC ID: 2961821426 Enrollment ID: I20201001002834 |
Provider Name | Samuel Martin Nicholas |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1730785650 PECOS PAC ID: 1254743198 Enrollment ID: I20201216003314 |
Provider Name | Gavin Klumpp |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1457923294 PECOS PAC ID: 7719385434 Enrollment ID: I20211012000052 |
Provider Name | Kelly Constable |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1316457260 PECOS PAC ID: 5799043634 Enrollment ID: I20220126002662 |
Provider Name | Sean Walsh |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1821573320 PECOS PAC ID: 6305179748 Enrollment ID: I20220429001208 |
Provider Name | Lynne Pedersen |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1184772600 PECOS PAC ID: 0840212684 Enrollment ID: I20220525001260 |
Provider Name | Colby Jack Taylor |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1326786963 PECOS PAC ID: 1850767401 Enrollment ID: I20221021002448 |
Provider Name | Suley Y Rivera |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1699273425 PECOS PAC ID: 1254703820 Enrollment ID: I20230207003264 |
Provider Name | Cody Vandersloot |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1578347472 PECOS PAC ID: 0648624296 Enrollment ID: I20230929002597 |
Provider Name | Zoralei Dayley |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1073379921 PECOS PAC ID: 1759727860 Enrollment ID: I20240312001661 |
Provider Name | Christina Elliot |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1154186096 PECOS PAC ID: 3577909589 Enrollment ID: I20240313001498 |
Mailing Address | Practice Location Address |
---|---|
Proactive Physical Therapy 1480 Ne Village St, Fairview, OR 97024-3827 Ph: (503) 489-1174 | Proactive Physical Therapy 1630 Beavercreek Rd Ste A, Oregon City, OR 97045-4156 Ph: (503) 607-0047 |