Active NPI
Premere Rehab LLC
Doing business as Infinity Rehab
- Physical Therapist
- McMinnville, OR
National Provider Identifier
1215637186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- PREMERE REHAB LLC
- Doing business as
- Infinity Rehab
- Practice address
- 2750 NE Doran Dr
McMinnville, OR 97128-2043 - Phone
- (503) 408-0404
- NPI assigned
- Mar 8, 2023
- Last updated
- Mar 8, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tammy McCoy
- Title
- Credentialing Specialist
- Phone
- (503) 496-5057
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NU | Primary | |
| Occupational Therapist | 225X00000X | NU | ||
| Speech-Language Pathologist | 235Z00000X | NU |
Addresses
Primary practice location
2750 NE Doran Dr
McMinnville, OR 97128-2043
Mailing address
8100 SW Nyberg St Ste 200
Tualatin, OR 97062-8437
Phone (503) 570-3665
Other names 1
- Infinity Rehab
National Provider Directory
National Provider Directory- Tax ID family
- Prairie Manor
Other organizations with this tax ID 46
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Wilsonville, OR
- NPI 1164844866
-
- Physical Therapist
- Hillsboro, OR
- NPI 1881924017
Locations
2750 NE Doran Dr
McMinnville, OR 97128
Phone (503) 408-0404
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678233600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678233600000",
"number": "1215637186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8100 SW NYBERG ST STE 200",
"city": "TUALATIN",
"state": "OR",
"postal_code": "970628437",
"telephone_number": "503-570-3665",
"fax_number": "503-570-9155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2750 NE DORAN DR",
"city": "MCMINNVILLE",
"state": "OR",
"postal_code": "971282043",
"telephone_number": "503-408-0404"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMERE REHAB LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-08",
"last_updated": "2023-03-08",
"certification_date": "2023-03-06",
"status": "A",
"authorized_official_last_name": "MCCOY",
"authorized_official_first_name": "TAMMY",
"authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
"authorized_official_telephone_number": "503-496-5057"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Infinity Rehab",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in McMinnville, OR
- Blake Postma
- Stephanie Harper Potts, FNP
- Ricardo Buzollo Prata
- Praxis Health, PC (West Hills Family Care)
- Precision Analytical Consulting and Laboratory, Inc. (Precision Analytical, Inc.)
- Premere Rehab LLC (Infinity Rehab)
- Premere Rehab LLC (Rock of Ages)
- Premere Rehab LLC (Infinity Rehab)
- Premier Sleep Professionals Inc
- Albert Eugene Prettyman, CADC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.