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PROGRESSIVE REHABILITATION ASSOCIATES LLC
NPI 1790760908
Clinic/Center in Portland, OR

Active since December 09, 2005
4640 S MACADAM AVE STE 90, PORTLAND, OR 97239(503) 292-0765(503) 292-5208 Get Directions Write a Review

NPPES record last updated: March 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 11, 2025, Feb 13, 2023 (2 updates tracked since 2023).

About Progressive Rehabilitation Associates Llc NPPES

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

PROGRESSIVE REHABILITATION ASSOCIATES LLC (NPI 1790760908) is a healthcare organization registered as a clinic/center in Portland, Oregon and active in the NPI registry since December 2005. The organization lists Margaret S Pemberton, Vice President & Manager, as its authorized official.

NPPES Registry Identity

NPI1790760908
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NamePROGRESSIVE REHABILITATION ASSOCIATES LLC
Location Address4640 S MACADAM AVE STE 90Portland, OR 97239-4285
Mailing Address1815 Sw Marlow Ave, Suite 110Portland, OR 97225-5185 · (503) 292-0765 · Fax (503) 292-5208
Phone(503) 292-0765
Fax(503) 292-5208
Organization SubpartNo
Authorized OfficialMargaret S PembertonVice President & Manager · (502) 394-2100
Enumeration DateDecember 9, 2005
Last NPPES UpdateMarch 11, 20252 updates tracked since enumeration
NPPES CertifiedMarch 11, 2025
✔ NPI 1790760908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
4640 S MACADAM AVE STE 90, Portland, OR 97239
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Progressive Rehabilitation Associates Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

23

Medicare enrollment records show 23 clinicians reassign Medicare billing to Progressive Rehabilitation Associates LLC, which bills Medicare for the services they deliver. Of these, 9 practice at this address and 14 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 7

Qualified Speech Language Pathologist7
Occupational Therapist in Private Practice6
Physical Therapist in Private Practice5
Clinical Psychologist2
Clinical Social Worker1
Mental Health Counselor1
Pain Management1

Nearest to this location (20)

See all 23
Lance Crawford, LPC
Mental Health Counselor
NPI 1902427495
4640 S MACADAM AVE STE 90
Portland, OR 97239
(503) 292-0765
✔ PECOSSame address
Luke Depner, OTR/L
Occupational Therapist in Private Practice
NPI 1942740246
4640 S MACADAM AVE STE 90
Portland, OR 97239
(503) 292-0765
✔ Accepts MedicareSame address
Brittany Dickason, PT, DPT
Physical Therapist in Private Practice
NPI 1235979311
4640 S MACADAM AVE STE 90
Portland, OR 97239
(503) 292-0765
✔ Accepts MedicareSame address
Cecilia Ismari
Physical Therapist in Private Practice
NPI 1174248470
4640 S MACADAM AVE STE 90
Portland, OR 97239
(503) 292-0765
✔ Accepts MedicareSame address
Amy Mangum, LOTR
Occupational Therapist in Private Practice
NPI 1134766108
4640 S MACADAM AVE STE 90
Portland, OR 97239
(503) 292-0765
Same address
Laura O'connor, PSY. D., MFT, BCBA
Clinical Psychologist
NPI 1215141288
4640 S MACADAM AVE STE 90
Portland, OR 97239
(503) 292-0765
✔ PECOSSame address
Anna Vivatson, OT
Occupational Therapist in Private Practice
NPI 1649154774
4640 S MACADAM AVE STE 90
Portland, OR 97239
(503) 292-0765
✔ Accepts MedicareSame address
Lydia Hogan, PSYD
Clinical Psychologist
NPI 1205428174
4640 S MACADAM AVE STE 90
Portland, OR 97239
(503) 292-0765
✔ PECOSSame address
Kimberly Narro
Physical Therapist in Private Practice
NPI 1891616025
4640 S MACADAM AVE STE 90
Portland, OR 97239
(503) 292-0765
Same address
Aubrey Whitty, M.S. CCC-SLP
Qualified Speech Language Pathologist
NPI 1770467664
4560 SE INTERNATIONAL WAY STE 100
Milwaukie, OR 97222
(971) 206-5202
4.6 mi
Darren Packard, SLP
Qualified Speech Language Pathologist
NPI 1245334234
1815 SW MARLOW STE 110
Portland, OR 97225
(503) 292-0765
5.7 mi
Lauren Brasfield, SLP-CCC
Qualified Speech Language Pathologist
NPI 1306728738
7204 SW DURHAM RD SUITE 100
Portland, OR 97224
(503) 941-9869
✔ Accepts Medicare7.3 mi
Lindsay Hartman, OTR/L
Occupational Therapist in Private Practice
NPI 1801494091
7204 SW DURHAM RD SUITE 100
Portland, OR 97224
(503) 941-9869
7.3 mi
Amy Monaghan
Physical Therapist in Private Practice
NPI 1972159507
7204 SW DURHAM RD SUITE 100
Portland, OR 97224
(503) 941-9869
7.3 mi
Kyleen Johnson, SLP-CF
Qualified Speech Language Pathologist
NPI 1093237620
3445 BOONE RD SE
Salem, OR 97317
(503) 576-3000
45 mi
Lauren Kitzel, OTD OTR/L
Occupational Therapist in Private Practice
NPI 1992412225
1 HAYDEN BRIDGE WAY
Springfield, OR 97477
(541) 868-9430
99 mi
Amy Doherty
Qualified Speech Language Pathologist
NPI 1164807590
326 CHARDONNAY AVE SUITE 1
Prosser, WA 99350
(509) 786-6626
✔ Accepts Medicare148 mi
Praveen Mambalam, M.D.
Pain Management
NPI 1790942886
21616 76TH AVE W STE 102
Edmonds, WA 98026
(425) 774-1538
✔ PECOS✔ Accepts Medicare161 mi
Stephanie Joseph
Physical Therapist in Private Practice
NPI 1336611342
910 E ALOSTA AVE
Azusa, CA 91702
(626) 334-8735
✔ Accepts Medicare824 mi
Drew Feldbaum
Clinical Social Worker
NPI 1295364776
1601 29TH ST STE 12921209
Boulder, CO 80301
(720) 340-1509
✔ PECOS✔ Accepts Medicare961 mi
See all 23 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Progressive Rehabilitation Associates LLC's NPI number?

The NPI number for Progressive Rehabilitation Associates LLC is 1790760908. It was assigned to this organization in the NPPES registry on December 9, 2005.

Where is Progressive Rehabilitation Associates LLC located?

Progressive Rehabilitation Associates LLC is located at 4640 S Macadam Ave Ste 90, Portland, OR 97239. The listed phone number is (503) 292-0765.

What is Progressive Rehabilitation Associates LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Progressive Rehabilitation Associates LLC enrolled in Medicare?

Yes. Progressive Rehabilitation Associates LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Progressive Rehabilitation Associates LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 23 clinicians in 7 Medicare specialties reassign their Medicare billing to Progressive Rehabilitation Associates LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Qualified Speech Language Pathologist (7), Occupational Therapist in Private Practice (6) and Physical Therapist in Private Practice (5). Of these, 9 practice at this address and 14 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Progressive Rehabilitation Associates LLC accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Progressive Rehabilitation Associates LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Progressive Rehabilitation Associates LLC was last updated on March 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.