Premere Rehab LLC
Physical Therapist in Salem, OR. Organization (NPI-2).
NPI number1457051328
StatusActive
Last updated in NPPESMar 8, 2023
Details
- NPI
- 1457051328
- Entity type
- Organization (NPI-2)
- Legal business name
- Premere Rehab LLC
- Organization subpart
- No
- Enumeration date
- Mar 8, 2023
- Certification date
- Mar 6, 2023
- Last updated
- Mar 8, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
| 225X00000X | Occupational Therapist | – | – | |
| 235Z00000X | Speech-Language Pathologist, | – | – |
Other names
- Infinity Rehab (Doing Business As)
Practice location
4254 Weathers St NeSalem, OR 97301-1933
Phone 503-585-4602
Mailing address
8100 Sw Nyberg St Ste 200Tualatin, OR 97062-8437
Phone 503-570-3665 · Fax 503-570-9155
Authorized official
Tammy McCoy
Credentialing Specialist
5034965057
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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