Proactive Physical Therapy - Prineville, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PROACTIVE PHYSICAL THERAPY - PRINEVILLE, LLC

Practice address

1251 NE Elm St
Prineville, OR 97754-1206

Phone

(541) 447-6846

NPI assigned

May 10, 2016

Organization subpart

No

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

Authorized official

Name

Steve Alstot

Title

Member

Phone

(503) 489-6250

Specialties & licenses 1

Addresses

Other names 1

• Prineville Physical Therapy Doing business as

Locations

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

{
    "created_epoch": "1462838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462838400000",
    "number": "1760838668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 NE VILLAGE ST",
            "city": "FAIRVIEW",
            "state": "OR",
            "postal_code": "970243827",
            "telephone_number": "503-489-6250",
            "fax_number": "503-489-1650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 NE ELM ST",
            "city": "PRINEVILLE",
            "state": "OR",
            "postal_code": "977541206",
            "telephone_number": "541-447-6846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTIVE PHYSICAL THERAPY - PRINEVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-10",
        "last_updated": "2016-05-10",
        "status": "A",
        "authorized_official_last_name": "ALSTOT",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "503-489-6250"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prineville Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laurie Poston, LCPC, LMHC
• Catilyn Bonney Powers
• Robert Prentice, QMHA, PSS
• Prineville Counseling Center LLC
• Prineville Physical Therapy, LLC
• Susan Puddy, RN
• Melissa Putman, MSW
• Jeff Raaymakers, CAC I, AAS
• Anthony Ramos, DMD
• Chelsea Lynn Ramsey

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; 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.