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Promotion Advanced Functional Rehab LLC

Orthopedic Physical Therapist in Stayton, OR · enumerated 2006 · authorized official Carmen Anglin, Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1710932710

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Registry record

Entity type Organization (Type 2)
Legal business name Promotion Advanced Functional Rehab LLC
Other name <Unavail>
Practice address 601 N 1st Ave, Stayton, OR, 97383
Phone (503) 769-3123
Fax (503) 769-3123
Enumeration date May 24, 2006
Last updated in NPPES Jun 16, 2018

Taxonomy & classification

2251X0800X Orthopedic Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 4435 (OR) Primary
2251X0800X Orthopedic Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 2672 (OR) Secondary
2251X0800X Orthopedic Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 4422 (OR) Secondary
2251X0800X Orthopedic Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 3854 (OR) Secondary
2251X0800X Orthopedic Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 2662 (OR) Secondary
225200000X Physical Therapy Assistant Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 8535 (OR) Secondary
225200000X Physical Therapy Assistant Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 9133 (OR) Secondary

Authorized official

Name Carmen Anglin
Title Manager
Phone (503) 769-3123

Other identifiers

Identifier Type State Issuer
005957 Medicaid OR -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Promotion Advanced Functional Rehab LLC located?
The practice location on file with NPPES is in Stayton, OR.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2018-06-16. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-06-16.