Premere Rehab LLC
NPI 1689373201ActiveOrganization· Physical Therapist· Beaverton, OR
Physical Therapist in Beaverton, Oregon, registered in NPPES in March 2023, part of Premere Rehab LLC. The authorized official on file is Tammy McCoy, Credentialing Specialist.
Overview
| NPI | 1689373201 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Premere Rehab LLC |
| NPI issued | Mar 2, 2023 |
| Last updated in NPPES | Mar 2, 2023 |
| Certified by provider | Mar 2, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
| Occupational Therapist | 225X00000X | — | — |
| Speech-Language Pathologist | 235Z00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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