SANDRA LYNN METWALLY (NPI# 1265942015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265942015 |
Entity Type | Individual |
Full Name | SANDRA LYNN METWALLY |
Credential | PT |
Practice Address |
707 Murphy Rd Medford OR 97504-8425 |
Mailing Address |
475 Shafer Ln Jacksonville OR 97530-9694 |
Practice Telephone | 5416228900 |
Practice Fax Number | 5416228901 |
Mailing Telephone | 5419415771 |
Enumeration Date | 2017-10-06 |
Last Update Date | 2017-10-06 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
04310 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
707 MURPHY RD |
City | MEDFORD |
State | OR |
Zip Code | 97504-8425 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083030266 | Ryan Thomas Colley | Orthopaedic Surgery | 707 Murphy Rd, Medford, OR 97504-8520 | 2014-03-11 |
1770014284 | Advanced Joint Replacement Center of Southern Oregon | Orthopaedic Surgery | 707 Murphy Rd, Medford, OR 97504-8425 | 2017-03-26 |
1114396082 | Providence Health & Services - Oregon | Clinic/Center | 707 Murphy Rd, Medford, OR 97504-8425 | 2015-09-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
Find all providers in zip 97504 |
Taxonomy Code | 2251X0800X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Orthopedic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659712297 | John A Cumming | Physical Therapist | 1904 Sky Park Dr, Medford, OR 97504-4735 | 2013-07-11 |
1417125055 | Elpi Niki Altum | Physical Therapist | 33 Schoolhouse Dr, Medford, NJ 08055-9218 | 2008-02-18 |
1962606178 | Dolphin Chiropractic & Orthopedic Physical Therapy Center, LLC | Physical Therapist | 1314 Center Dr, Suite 14, Medford, OR 97501-7908 | 2007-06-12 |
1083827406 | Sporthopedics Physical Therapy, PC | Physical Therapist | 1060 Crater Lake Ave., Suite A, Medford, OR 97504 | 2007-05-08 |
1912938614 | Scott P Byrd | Physical Therapist | 1060 Crater Lake Ave, Ste A, Medford, OR 97504-2205 | 2006-07-05 |
1013961341 | Mark William Butler | Physical Therapist | 128 Route 70, Suite 2c, Medford, NJ 08055-2371 | 2006-05-20 |
1306155882 | John Dante Benedetto | Physical Therapist | 128 Route 70 Ste 2c, Medford, NJ 08055-2371 | 2010-09-30 |
1609057553 | Kevin Phillip Schnitzer | Physical Therapist | 200 Tuckerton Rd, Suite 17, Medford, NJ 08055-8806 | 2007-11-20 |
1639183445 | Domenic Visocchi | Physical Therapist | 5 High St, Suite 203, Medford, MA 02155-3860 | 2006-07-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578170411 | Mind Body Therapy | Physical Therapist | 11959 Sw Garden Pl, Portland, OR 97223-8249 | 2020-09-24 |
1811512320 | Wesley Stoecker | Physical Therapist | 512 Main St., Suite 300, Monmouth, OR 97361 | 2020-06-10 |
1629638952 | Alana Vernon | Physical Therapist | 625 N Arrowleaf Trl Bldg G, Sisters, OR 97759-2610 | 2019-06-18 |
1992369532 | Mansi S Sabne | Physical Therapist | 2460 Nw Stewart Pkwy Ste 200, Roseburg, OR 97471-1501 | 2019-04-29 |
1447813084 | Prokaleo Physical Therapy, LLC | Physical Therapist | 12120 Sw Garden Pl, Tigard, OR 97223-8264 | 2019-04-18 |
1376010090 | Meredith Rae Brezinski | Physical Therapist | 18019 Sw Boones Ferry Road, Tigard, OR 97224 | 2018-10-31 |
1306324538 | Kristin Connor Messing | Physical Therapist | 4805 Ne Glisan St, Prov Hall 7e06, Portland, OR 97015 | 2018-07-31 |
1578041976 | Sheridan Edward Pyeatt | Physical Therapist | 870 S Front St Ste 105, Central Point, OR 97502-2779 | 2018-07-30 |
1093204562 | Jessica Hund | Physical Therapist | 9385 Sw Greenburg Rd Ste 100, Portland, OR 97223-3200 | 2018-05-09 |
1659899151 | Mariel Hammond | Physical Therapist | 7522 N Lombard St, Portland, OR 97203-3235 | 2017-09-05 |
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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.