Stride Strong Physical Therapy Llc | |
12849 Nw Cornell Rd, Portland, OR 97229-5813 | |
(503) 208-6278 | |
(503) 208-6276 |
Full Name | Stride Strong Physical Therapy Llc |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 12849 Nw Cornell Rd, Portland, Oregon |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215295274 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Secondary |
Provider Name | Nancy Burger Causton |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1508817818 PECOS PAC ID: 7416960752 Enrollment ID: I20060803000151 |
Provider Name | Brian T Blevins |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1568702314 PECOS PAC ID: 2567608367 Enrollment ID: I20130424000381 |
Provider Name | Minori Osako |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1144738105 PECOS PAC ID: 9234491796 Enrollment ID: I20180320003501 |
Provider Name | Caitlin Nicole Mckernan |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1407331689 PECOS PAC ID: 9739424375 Enrollment ID: I20181228002519 |
Provider Name | Gregory J Coleman |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1639551203 PECOS PAC ID: 7810221066 Enrollment ID: I20190821004864 |
Provider Name | Bowen Luan |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1295337681 PECOS PAC ID: 3173934452 Enrollment ID: I20201117001074 |
Provider Name | Yuxuan Wang |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1578135075 PECOS PAC ID: 9335543792 Enrollment ID: I20210806000572 |
Provider Name | Deanna Gallo |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1104596113 PECOS PAC ID: 2668862228 Enrollment ID: I20211214001693 |
Provider Name | Anuja Sharadchandra Chitale |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1336807221 PECOS PAC ID: 1355732728 Enrollment ID: I20211217001584 |
Provider Name | Meghan O'malley |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1275185639 PECOS PAC ID: 5597159087 Enrollment ID: I20220226000288 |
Provider Name | David Brockman |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1295441517 PECOS PAC ID: 6800269010 Enrollment ID: I20230308001167 |
Provider Name | Alanna M Fennimore |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1932756541 PECOS PAC ID: 6103157045 Enrollment ID: I20230526000742 |
Provider Name | Michael Bachner |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1932616315 PECOS PAC ID: 5991066813 Enrollment ID: I20230807003609 |
Provider Name | Alysia Harrington Crocker Cullen |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1568012326 PECOS PAC ID: 8123480555 Enrollment ID: I20230816001902 |
Provider Name | Jenna Lee Belser |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1134882772 PECOS PAC ID: 0547616138 Enrollment ID: I20231102003078 |
Provider Name | Gabrielle L Palfenier |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1609524461 PECOS PAC ID: 6901278779 Enrollment ID: I20231204000926 |
Provider Name | Bethanie L Bayha |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1053365569 PECOS PAC ID: 6608804307 Enrollment ID: I20240228003918 |
Mailing Address | Practice Location Address |
---|---|
Stride Strong Physical Therapy Llc 2350 Ne Griffin Oaks St Ste 100, Hillsboro, OR 97124-2374 Ph: (503) 208-6278 | Stride Strong Physical Therapy Llc 12849 Nw Cornell Rd, Portland, OR 97229-5813 Ph: (503) 208-6278 |
Jonathan Rex Gustavson, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3426 Ne 62nd Ave, Portland, OR 97213 Phone: 503-312-3443 | |
Ms. Ruth A Hurst, P.T., G.C.F.P. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7721 Sw 34th Ave, Portland, OR 97219 Phone: 503-452-7767 | |
Ms. Molly Anne Bredenberg, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5050 Ne Hoyt St, Portland, OR 97213 Phone: 503-215-0424 | |
David Genco Jr., DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 319 Ne Russet St, Portland, OR 97211 Phone: 503-289-5571 | |
Jenna Valentine, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 9204 Se Mitchell St, Portland, OR 97266 Phone: 503-777-6746 | |
Ariel Witkin, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1515 Nw 18th Ave Ste 400, Portland, OR 97209 Phone: 503-228-1306 Fax: 503-228-1307 | |
Brian Carper, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 300 N Graham St Ste 430, Portland, OR 97227 Phone: 503-413-1500 |