BIG SKY PHYSICAL THERAPY (NPI# 1265903819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265903819 |
| Entity Type | Organization |
| Organization Name | BIG SKY PHYSICAL THERAPY |
| Practice Address |
609 Ne Baker St Ste 140 Mcminnville OR 97128-4907 |
| Practice Telephone | 5034720848 |
| Practice Fax Number | 5034721653 |
| Mailing Telephone | 5034720848 |
| Mailing Fax Number | 5034721653 |
| Enumeration Date | 2018-12-07 |
| Last Update Date | 2020-10-20 |
| Authorized Official Name | CARL ROBERT HANSEN (PHYSICAL THERAPIST) |
| Authorized Official Telephone | 5034720848 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 18816119922 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | BIG SKY PHYSICAL THERAPY, INC | 609 Ne Baker St Ste 140, Mcminnville, OR 97128 |
| Street Address |
609 NE BAKER ST STE 140 |
| City | MCMINNVILLE |
| State | OR |
| Zip Code | 97128-4907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881619922 | Carl Robert Hansen | Physical Therapist | 609 Ne Baker St Ste 140, Mcminnville, OR 97128-4907 | 2006-07-12 |
| 1003452459 | Molly Larson Peichel | Physical Therapist | 609 Ne Baker St Ste 140, Mcminnville, OR 97128-4907 | 2019-11-20 |
| 1841779576 | Olivia Tramelli | Physical Therapist | 609 Ne Baker St Ste 140, Mcminnville, OR 97128-4907 | 2018-08-13 |
| 1104274778 | Melissa A Bartlett | Physical Therapist | 609 Ne Baker St Ste 140, Mcminnville, OR 97128-4907 | 2016-05-24 |
| 1043418841 | Laura Magers | Physical Therapist | 609 Ne Baker St Ste 140, Mcminnville, OR 97128-4907 | 2007-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565035 | Bkd Hillside Opco, LLC | Skilled Nursing Facility | 440 Nw Hillside Park Way, Mcminnville, OR 97128 | 2020-10-16 |
| 1811502636 | Sean Peter Christian Cavaghan | Counselor | 1900 Ne Hwy 99, Suite K, Mcminnville, OR 97128 | 2020-09-09 |
| 1386269637 | Tending The Vineyard | Clinic/Center | 127 Nw Highway 99w, Mcminnville, OR 97128 | 2020-06-12 |
| 1619441094 | Kami Naber | Counselor | 672 Ne Evans St, Mcminnville, OR 97128 | 2019-01-18 |
| 1720552102 | Lauren Nicole Abshire | Counselor | 672 Ne Evans Street, Mcminnville, OR 97128 | 2019-01-18 |
| 1366933376 | Maria G Guerrero | Specialist | 325 Nw Fenton St, Mcminnville, OR 97128 | 2018-05-24 |
| 1235628819 | Julie Luedtke | Health Educator | 300 Sw Hill Road South, Mcminnville, OR 97128 | 2018-05-09 |
| 1356838817 | Jacqueline Ann Hausman | Massage Therapist | 119 Ne 3rd St., Mcminnville, OR 97128 | 2018-04-19 |
| 1366960007 | Alexis R Burke | Counselor | 625 Ne Galloway, Mcminnville, OR 97128 | 2017-09-01 |
| 1871018705 | Amanda Rose Bunch | Counselor | 418 Se Holly Way, Mcminnville, OR 97128 | 2017-08-11 |
| Find all providers in zip 97128 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356687974 | Elite Therapy Services | Clinic/Center | 220 Snow Hollow Ln, Mcminnville, TN 37110-7592 | 2012-12-31 |
| 1801058078 | Andrew Physical Therapy, Inc | Clinic/Center | 2025 Ne Baker St Ste A, Mcminnville, OR 97128-2656 | 2008-06-30 |
| 1659880508 | Cornerstone Physical Therapy Inc. | Clinic/Center | 358 Caldwell St, Mcminnville, TN 37110-2032 | 2017-09-22 |
| 1316484025 | Align Physical Therapy Professional Limited Liability Company | Clinic/Center | 358 Caldwell St, Mcminnville, TN 37110-2032 | 2017-01-20 |
| 1598065765 | Mcminnville Physical Therapy, LLC | Clinic/Center | 2391 S Chancery St, Mcminnville, TN 37110-3614 | 2010-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881292639 | Blueprint Sports Therapy | Clinic/Center | 17440 Sw Reusser Ct, Beaverton, OR 97007-8772 | 2020-10-14 |
| 1790383982 | Fluid Movement LLC | Clinic/Center | 2565 Bowmont Dr, Eugene, OR 97405-1407 | 2020-10-11 |
| 1184221335 | Convergence Physical Therapy and Performance | Clinic/Center | 303 S 5th St Ste 140, Springfield, OR 97477-5480 | 2020-10-01 |
| 1356969976 | Readygo Physical Therapy LLC | Clinic/Center | 904 Se 69th Ave, Portland, OR 97215-2120 | 2020-07-09 |
| 1619591815 | Cyti LLC | Clinic/Center | 11350 Sw Canyon Rd # 202, Beaverton, OR 97005-2234 | 2020-06-03 |
| 1144865841 | St. Johns Physical Therapy | Clinic/Center | 8835 N Bradford St, Portland, OR 97203-2869 | 2019-11-18 |
| 1750930004 | Revolutions Physical Therapy LLC | Clinic/Center | 8751 Sw Pamlico Ct, Tualatin, OR 97062-9345 | 2019-09-10 |
| 1487202362 | Mpt LLC | Clinic/Center | 98158 W Benham Ln Ste 10, Brookings, OR 97415-9546 | 2019-09-03 |
| 1215584446 | Patrick Franko Pt LLC | Clinic/Center | 2331 Ne 43rd Ave, Portland, OR 97213-1332 | 2019-08-22 |
| 1689228686 | Ground Work Physical Therapy | Clinic/Center | 2330 Ne Division St Ste 1, Bend, OR 97703-3570 | 2019-07-29 |
| Find all providers with the same taxonomy | ||||
| City | MCMINNVILLE |
| Zip Code | 97128 |
Please comment or provide details below to improve the information on BIG SKY PHYSICAL THERAPY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.