PRESTIGE SENIOR LIVING BRIDGEWOOD
NPI 1588063242
Physical Therapist in Vancouver, WA

Active since August 19, 2014CLIA 50D2272375 · Waiver
11700 NE ANGELO DR, VANCOUVER, WA 98684(360) 254-4666 Get Directions Write a Review

NPPES record last updated: August 19, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Prestige Senior Living Bridgewood NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRESTIGE SENIOR LIVING BRIDGEWOOD (NPI 1588063242) is a healthcare organization registered as a physical therapist in Vancouver, Washington and active in the NPI registry since August 2014. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Laura Cantrell, Director Of Rehab, as its authorized official.

NPPES Registry Identity

NPI1588063242
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NamePREMERE REHAB LLC
Location Address11700 NE ANGELO DRVancouver, WA 98684-4296
Mailing Address25117 Sw Parkway Ave, Ste DWilsonville, OR 97070-9697 · (503) 570-3665 · Fax (877) 282-1880
Organization SubpartNo
Authorized OfficialLaura CantrellDirector Of Rehab · (360) 901-8111
Enumeration DateAugust 19, 2014
NPI 1588063242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
Also ListedOccupational TherapistTaxonomy 225X00000X
Also ListedSpeech-Language PathologistTaxonomy 235Z00000X
11700 NE ANGELO DR, Vancouver, WA 98684

Other Names 1

Doing Business AsPrestige Senior Living Bridgewood

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D2272375

Prestige Senior Living Bridgewood · Vancouver, WA
Active · expires Apr 4, 2028
CLIA Number50D2272375
Laboratory TypeAssisted Living Facility
Certificate Effective DateNovember 18, 2022
Certificate Expiration DateApril 4, 2028
Laboratory DirectorChanthy Robinson
Laboratory Phone(360) 254-4666
Laboratory LocationPrestige Senior Living Bridgewood11700 NE Angelo Dr, Vancouver, WA 98684
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Premere Rehab LLC's NPI number?

The NPI number for Premere Rehab LLC is 1588063242. It was assigned to this organization in the NPPES registry on August 19, 2014. The provider is doing business as Prestige Senior Living Bridgewood.

Where is Premere Rehab LLC located?

Premere Rehab LLC is located at 11700 NE Angelo Dr, Vancouver, WA 98684. The listed phone number is (360) 254-4666.

What is Premere Rehab LLC's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Does Premere Rehab LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2272375) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Premere Rehab LLC was last updated on August 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.