CHRISTA K ANTRIM (NPI# 1538337977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538337977 |
| Entity Type | Individual |
| Full Name | CHRISTA K ANTRIM |
| Practice Address |
1600 State St Salem OR 97301-4257 |
| Practice Telephone | 5035406472 |
| Practice Fax Number | 5035406480 |
| Mailing Telephone | 5035406472 |
| Mailing Fax Number | 5035406480 |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2019-04-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
4994 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 272630 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5825 Shoreview Ln N, Keizer, OR 973033978 | 5035406471 | 5035406404 |
| Street Address |
1600 STATE ST |
| City | SALEM |
| State | OR |
| Zip Code | 97301-4257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740278969 | John J Coen | Orthopaedic Surgery | 1600 State St, Salem, OR 97301-4257 | 2005-10-11 |
| 1033710843 | Clarissa Freeman | Physical Therapist | 1600 State St, Salem, OR 97301-4257 | 2020-11-06 |
| 1760026785 | Jesse Wright | Physician Assistant | 1600 State St, Salem, OR 97301-4257 | 2019-11-01 |
| 1508400979 | Robert William Dolan | Physician Assistant | 1600 State St, Salem, OR 97301-4257 | 2019-10-29 |
| 1780179523 | Michael Alexander Valdez | Physician Assistant | 1600 State St, Salem, OR 97301-4257 | 2018-06-25 |
| 1306394317 | Lawrence Michael Dimacali | Physician Assistant | 1600 State St, Salem, OR 97301-4257 | 2016-09-19 |
| 1942757224 | Rebecca Theisen | Physician Assistant | 1600 State St, Salem, OR 97301-4257 | 2016-09-05 |
| 1942650825 | Thomas Mcgrath | Physical Therapist | 1600 State St, Salem, OR 97301-4257 | 2016-06-21 |
| 1932595600 | Alana Ryan | Family Medicine | 1600 State St, Salem, OR 97301 | 2015-04-09 |
| 1972909661 | Suzanne Michelle Nerli | Physician Assistant | 1600 State St, Salem, OR 97301-4257 | 2014-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205450970 | Jehan Seals | Behavior Technician | 3400 State St Set G750, Salem, OR 97301 | 2020-05-29 |
| 1093335929 | Sterling Recovery, LLC | Dietitian, Registered | 3758 Amber St Ne #105, Salem, OR 97301 | 2020-04-21 |
| 1760018360 | Riverfront Mental Health LLC | Counselor | 338 State St, Suite 985, Salem, OR 97301 | 2020-03-16 |
| 1871126888 | Amity Beth Haddon Maxwell | Social Worker | Oregon State Hospital, 2600 Center St Ne, Salem, OR 97301 | 2020-02-18 |
| 1861042632 | Brenda Grizelda Vargas | Behavioral Analyst | 3400 State Ste Ste G750, Salem, OR 97301 | 2019-09-13 |
| 1588213177 | Natalie Stone | Registered Nurse | 2045 Siverton Rd Ne, Salem, OR 97301 | 2019-09-06 |
| 1588228720 | Jeramy Disenso | Counselor | 270 Cottage St Ne, Salem, OR 97301 | 2019-04-23 |
| 1801353297 | Gwendolyn Kersey | Registered Nurse | 2600 Center St Ne Oregon State Hospital, Salem, OR 97301 | 2019-02-21 |
| 1841769114 | Spine Clinic PC | Massage Therapist | 1281 Lancaster Drive Ne, Salem, OR 97301 | 2018-11-16 |
| 1013482132 | Kellie Linn Hansen | Physical Therapist | 4049 Market St Se, Salem, OR 97301 | 2018-10-04 |
| Find all providers in zip 97301 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033595129 | Derek Lee Palmer | Physical Therapist | 2521 Boone Rd Se # 100, Salem, OR 97306-9675 | 2015-07-31 |
| 1730564683 | Paula Pugh | Physical Therapist | 2975 River Rd S, Salem, OR 97302-9754 | 2015-07-21 |
| 1881017432 | Daniel Cordell Arnold | Physical Therapist | 6250 Commercial St Se, Salem, OR 97306-1333 | 2014-01-31 |
| 1194098517 | Jarrod Lummis | Physical Therapist | 1600 State St, Salem, OR 97301 | 2012-02-15 |
| 1477640225 | Chris C Jensen | Physical Therapist | 84 Highland Ave, Salem, MA 01970-2727 | 2006-10-05 |
| 1659352441 | Michael Charles Gibbons | Physical Therapist | 2480 Liberty St Ne, Salem, OR 97303-6780 | 2005-11-08 |
| 1447231238 | Jennifer Lynn Hartford | Physical Therapist | 2480 Liberty St Ne, Salem, OR 97303-6780 | 2005-11-08 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.