| 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 | Bowen Luan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295337681 PECOS PAC ID: 3173934452 Enrollment ID: I20201117001074 |
| 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 | 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 |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932756541 PECOS PAC ID: 6103157045 Enrollment ID: I20230526000742 |
| 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 | Bethanie L Bayha |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053365569 PECOS PAC ID: 6608804307 Enrollment ID: I20240228003918 |
| Provider Name | Brooke N Tate |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942973615 PECOS PAC ID: 8628501921 Enrollment ID: I20241024003602 |
| 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 | |
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 | |
Lane Williams, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 11782 Sw Barnes Rd, Portland, OR 97225 Phone: 503-906-4323 Fax: 503-906-4333 |