ROCK OF AGES
NPI 1871823005
Physical Therapist in Mcminnville, OR

Active since January 11, 2010
15600 SW ROCK OF AGES RD, MCMINNVILLE, OR 97128(503) 472-6212 Get Directions Write a Review

NPPES record last updated: February 8, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Rock Of Ages NPPES

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

ROCK OF AGES (NPI 1871823005) is a healthcare organization registered as a physical therapist in Mcminnville, Oregon and active in the NPI registry since January 2010. The organization lists Laura A. Cantrell, Director Of Outpatient, as its authorized official.

NPPES Registry Identity

NPI1871823005
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NamePREMERE REHAB LLC
Location Address15600 SW ROCK OF AGES RDMcminnville, OR 97128-8531
Mailing Address25117 Sw Parkway, Suite DWilsonville, OR 97070 · (888) 757-3422 · Fax (877) 282-1880
Organization SubpartNo
Authorized OfficialLaura A. CantrellDirector Of Outpatient · (360) 901-8111
Enumeration DateJanuary 11, 2010
Last NPPES UpdateFebruary 8, 2012
✔ NPI 1871823005 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
15600 SW ROCK OF AGES RD, Mcminnville, OR 97128

Other Names 1

Doing Business AsRock Of Ages

Other Identifiers 1

Medicare PINR159930OR

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rock Of Ages is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateOregonEnrollment IDO20110105000915Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

34

Medicare enrollment records show 34 clinicians reassign Medicare billing to Rock Of Ages, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 3

Physical Therapist in Private Practice22
Occupational Therapist in Private Practice10
Qualified Speech Language Pathologist2

Nearest to this location (20)

See all 34
Physical Therapist in Private Practice
NPI 1629237029
1900 FULTON ST
Newberg, OR 97132
(503) 538-2108
✔ Accepts Medicare17 mi
Physical Therapist in Private Practice
NPI 1427465962
441 WERTH BLVD.
Newberg, OR 97123
(503) 538-9436
18 mi
Occupational Therapist in Private Practice
NPI 1134483134
525 TRADE ST SE
Salem, OR 97301
(800) 863-5241
✔ Accepts Medicare21 mi
Occupational Therapist in Private Practice
NPI 1780184960
4254 WEATHERS ST NE
Salem, OR 97301
(971) 224-2841
✔ Accepts Medicare23 mi
Occupational Therapist in Private Practice
NPI 1578029369
3900 PACIFIC AVE
Forest Grove, OR 97116
(503) 359-0449
✔ Accepts Medicare24 mi
Physical Therapist in Private Practice
NPI 1699203208
3900 PACIFIC AVE
Forest Grove, OR 97116
(503) 359-0449
✔ Accepts Medicare24 mi
Occupational Therapist in Private Practice
NPI 1760642227
650 SE OAK ST
Hillsboro, OR 97123
(503) 648-8588
26 mi
Physical Therapist in Private Practice
NPI 1770268559
25030 SW PARKWAY AVE STE 100
Wilsonville, OR 97070
(503) 582-1073
✔ Accepts Medicare27 mi
Physical Therapist in Private Practice
NPI 1225220619
16485 SW PACIFIC HWY
Tigard, OR 97224
(503) 620-5141
✔ Accepts Medicare27 mi
Occupational Therapist in Private Practice
NPI 1447704812
11200 SW MURRAY SCHOLLS PL STE 100
Beaverton, OR 97007
(503) 494-3151
✔ Accepts Medicare27 mi
Physical Therapist in Private Practice
NPI 1851277636
8100 SW NYBERG ST STE 200
Tualatin, OR 97062
(503) 570-3665
28 mi
Physical Therapist in Private Practice
NPI 1588855126
8100 SW NYBERG ST STE 200
Tualatin, OR 97062
(360) 901-8111
28 mi
Physical Therapist in Private Practice
NPI 1346324191
1950 NE 102ND AVE
Hillsboro, OR 97006
(503) 726-0202
✔ Accepts Medicare30 mi
Physical Therapist in Private Practice
NPI 1730693615
3905 SW 117TH AVE SUITE A
Portland, OR 97202
(925) 323-8311
31 mi
Occupational Therapist in Private Practice
NPI 1003075417
3900 KRUSE WAY PL
Lake Oswego, OR 97035
(503) 607-0566
✔ Accepts Medicare31 mi
Physical Therapist in Private Practice
NPI 1487847760
6530 SW 30TH AVE
Portland, OR 97239
(503) 595-8235
✔ Accepts Medicare34 mi
Physical Therapist in Private Practice
NPI 1780355057
2545 SW TERWILLIGER BLVD
Portland, OR 97201
(503) 299-4911
✔ Accepts Medicare36 mi
Occupational Therapist in Private Practice
NPI 1265783781
10121 SE SUNNYSIDE RD STE 300
Clackamas, OR 97015
(877) 407-3422
38 mi
Occupational Therapist in Private Practice
NPI 1558940528
1282 GOODPASTURE ISLAND RD
Eugene, OR 97401
(541) 246-3029
77 mi
Qualified Speech Language Pathologist
NPI 1790024628
515 GRANT AVE
Cottage Grove, OR 97424
(541) 942-5528
✔ Accepts Medicare98 mi
See all 34 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 Premere Rehab LLC's NPI number?

The NPI number for Premere Rehab LLC is 1871823005. It was assigned to this organization in the NPPES registry on January 11, 2010. The provider is doing business as Rock Of Ages.

Where is Premere Rehab LLC located?

Premere Rehab LLC is located at 15600 SW Rock Of Ages Rd, Mcminnville, OR 97128. The listed phone number is (503) 472-6212.

What is Premere Rehab LLC's specialty?

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

Is Premere Rehab LLC enrolled in Medicare?

Yes. Premere Rehab LLC is registered in the Medicare PECOS enrollment system.

When is Premere Rehab LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Oregon, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Premere Rehab LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 34 clinicians in 3 Medicare specialties reassign their Medicare billing to Premere Rehab 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 Physical Therapist in Private Practice (22), Occupational Therapist in Private Practice (10) and Qualified Speech Language Pathologist (2). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Premere Rehab LLC was last updated on February 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.