Cascade Rehabilitation Associates, PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0908 Issued in OR

Legal business name

CASCADE REHABILITATION ASSOCIATES, PC

Practice address

735 SW 11TH St
Ste 103
Redmond, OR 97756-2649

Phone

(541) 923-1436

Fax

(541) 923-1467

NPI assigned

Jun 15, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Samuel Edward Blackwell Jr., MS PT

Title

President

Phone

(541) 923-1436

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219190400000",
    "number": "1174567952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 SW 11TH ST",
            "address_2": "STE 103",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977569592",
            "telephone_number": "541-923-1436",
            "fax_number": "541-923-1467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 SW 11TH ST",
            "address_2": "STE 103",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977562649",
            "telephone_number": "541-923-1436",
            "fax_number": "541-923-1467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE REHABILITATION ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2008-08-20",
        "status": "A",
        "authorized_official_last_name": "BLACKWELL",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-923-1436",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MS PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "0908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "233502",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "05-4082000",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cascade Medical Imaging LLC
• Cascade Medical Transport of Oregon LLC
• Cascade Professional Business Service
• Cascade Professional Business Services LLC
• Cascade Professional Business Services LLC
• Eric Castagner
• Monika Castaneda, LPC
• Jennifer R Casto
• Maegan Catchpole, OT
• Lori Causey

• Physical Therapist in Redmond, OR
• Providers in Redmond, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.