| Promotion Advanced Functional Rehab Llc | |
|
601 N 1st Ave, Stayton, OR 97383 | |
| (503) 769-3123 | |
| (503) 769-3123 |
| Full Name | Promotion Advanced Functional Rehab Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist - Orthopedic |
| Location | 601 N 1st Ave, Stayton, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710932710 | NPI | - | NPPES |
| 005957 | Medicaid | OR |
| Provider Name | Gary J Anglin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689633547 PECOS PAC ID: 0840284063 Enrollment ID: I20040412000812 |
| Provider Name | Daryl L Ivins |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316007636 PECOS PAC ID: 6305811027 Enrollment ID: I20040827000265 |
| Provider Name | Michelle L Reisig |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568407054 PECOS PAC ID: 9436104148 Enrollment ID: I20050315001181 |
| Provider Name | Carmen L Anglin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316925712 PECOS PAC ID: 5799795340 Enrollment ID: I20060428000037 |
| Provider Name | Susan J Wells |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548419161 PECOS PAC ID: 5496815128 Enrollment ID: I20081125000354 |
| Provider Name | Robert F Csintalan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659455855 PECOS PAC ID: 8325351778 Enrollment ID: I20150714003111 |
| Provider Name | Meagan Dahl |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376118190 PECOS PAC ID: 2365849106 Enrollment ID: I20210922000686 |
| Provider Name | Elise Miranda Princehouse |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235796293 PECOS PAC ID: 5092183962 Enrollment ID: I20221128000123 |
| Provider Name | Kalia Ann Miller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811679319 PECOS PAC ID: 6507210226 Enrollment ID: I20230929000812 |
| Mailing Address | Practice Location Address |
|---|---|
| Promotion Advanced Functional Rehab Llc 601 N 1st St, Stayton, OR 97383 Ph: (503) 769-3123 | Promotion Advanced Functional Rehab Llc 601 N 1st Ave, Stayton, OR 97383 Ph: (503) 769-3123 |
Joshua Andrew Hevel, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1750 Wilco Rd, Stayton, OR 97383 Phone: 503-769-7131 Fax: 503-769-7132 | |
Ryan John Mackenzie, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1750 Wilco Rd, Stayton, OR 97383 Phone: 503-769-7131 Fax: 503-769-7132 | |
Meghan Dionndra Smith, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1750 Wilco Rd, Stayton, OR 97383 Phone: 503-769-7131 Fax: 503-769-7132 | |
Scott Demar Gale, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1750 Wilco Rd, Stayton, OR 97383 Phone: 503-769-7131 Fax: 503-769-7132 | |
Mrs. Carmen L Anglin, DPT, CMP Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 601 N 1st St, Stayton, OR 97383 Phone: 503-769-3123 Fax: 503-769-3176 | |
Everett Plocek, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 601 N 1st Ave, Stayton, OR 97383 Phone: 503-769-3123 Fax: 503-769-3176 | |
Roland X Cochrun, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 601 N 1st St, Stayton, OR 97383 Phone: 503-769-3123 Fax: 503-769-3176 |