Proactive Physical Therapy - Medicare in Oregon City, OR

Proactive Physical Therapy is a medicare enrolled "Clinic/center - Physical Therapy" provider in Oregon City, Oregon. Their current practice location is 1630 Beavercreek Rd Ste A, Oregon City, Oregon. You can reach out to their office (for appointments etc.) via phone at (503) 607-0047.

Proactive Physical Therapy is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Proactive Physical Therapy is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1396273199.

Contact Information

Proactive Physical Therapy
1630 Beavercreek Rd Ste A,
Oregon City, OR 97045-4156
(503) 607-0047
(503) 607-0051

Map and Direction




Healthcare Provider's Profile

Full NameProactive Physical Therapy
TypeFacility
SpecialityClinic/center - Physical Therapy
Location1630 Beavercreek Rd Ste A, Oregon City, Oregon
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1396273199
  • Provider Enumeration Date: 05/24/2017
  • Last Update Date: 07/25/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 7315218708
  • Enrollment ID: O20170803000697

Medical Identifiers

Medical identifiers for Proactive Physical Therapy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396273199NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist (* (Not Available))Secondary
261QP2000XClinic/center - Physical Therapy (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Proactive Physical Therapy acts as a billing entity for following providers:
Provider NameRyan M Nall
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1801057765
PECOS PAC ID: 0143393058
Enrollment ID: I20090601000347
Provider NameBryce P Schuster
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1003128653
PECOS PAC ID: 7416140926
Enrollment ID: I20101015001211
Provider NameMegan A Sporndli
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1780060368
PECOS PAC ID: 2365759487
Enrollment ID: I20150922000362
Provider NameKevin M Pust
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1831578400
PECOS PAC ID: 9931414364
Enrollment ID: I20150923001242
Provider NamePan Zhang
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1316278401
PECOS PAC ID: 8022399120
Enrollment ID: I20170104000663
Provider NameJessica Pace
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1457721409
PECOS PAC ID: 0749566271
Enrollment ID: I20170417000967
Provider NameEvan J Price
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1265955371
PECOS PAC ID: 7810260320
Enrollment ID: I20170905003364
Provider NameBryce W Peters
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1790209534
PECOS PAC ID: 4789957903
Enrollment ID: I20170908002015
Provider NameDaniel Mcgill
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1992276448
PECOS PAC ID: 4183962897
Enrollment ID: I20190205000607
Provider NameKallie Arne Wikman
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1083109755
PECOS PAC ID: 0446509137
Enrollment ID: I20191122000828
Provider NameKatelyn Skaugset
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1194386250
PECOS PAC ID: 7911337944
Enrollment ID: I20200415001483
Provider NameJoseph Edward Zacher
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1417562133
PECOS PAC ID: 2961821426
Enrollment ID: I20201001002834
Provider NameSamuel Martin Nicholas
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1730785650
PECOS PAC ID: 1254743198
Enrollment ID: I20201216003314
Provider NameGavin Klumpp
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1457923294
PECOS PAC ID: 7719385434
Enrollment ID: I20211012000052
Provider NameKelly Constable
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1316457260
PECOS PAC ID: 5799043634
Enrollment ID: I20220126002662
Provider NameSean Walsh
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1821573320
PECOS PAC ID: 6305179748
Enrollment ID: I20220429001208
Provider NameLynne Pedersen
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1184772600
PECOS PAC ID: 0840212684
Enrollment ID: I20220525001260
Provider NameColby Jack Taylor
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1326786963
PECOS PAC ID: 1850767401
Enrollment ID: I20221021002448
Provider NameSuley Y Rivera
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1699273425
PECOS PAC ID: 1254703820
Enrollment ID: I20230207003264
Provider NameCody Vandersloot
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1578347472
PECOS PAC ID: 0648624296
Enrollment ID: I20230929002597
Provider NameZoralei Dayley
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1073379921
PECOS PAC ID: 1759727860
Enrollment ID: I20240312001661
Provider NameChristina Elliot
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1154186096
PECOS PAC ID: 3577909589
Enrollment ID: I20240313001498

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Proactive Physical Therapy is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice 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

Reviews and Comments



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