SOUTHWEST PHYSICAL THERAPY LLC (NPI# 1568685766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568685766 |
Entity Type | Organization |
Organization Name | SOUTHWEST PHYSICAL THERAPY LLC |
Other Organization Name | SOUTHWEST PHYSICAL THERAPY& JOHN BREUER REHABILITATION SERVICES |
Practice Address |
279 N Central St Coquille OR 97423-1241 |
Practice Telephone | 5413963341 |
Mailing Telephone | 5413963341 |
Enumeration Date | 2007-04-10 |
Last Update Date | 2007-09-24 |
Authorized Official Name | MR. CORY DORLAND (BUSINESS MANAGER) |
Authorized Official Telephone | 5412697212 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OR | 207084 | 05 |
Other Name | Type Code |
---|---|
Southwest Physical Therapy& John Breuer Rehabilitation Services | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306230917 | Southwest Physical Therapy LLC | Clinic/Center | 1650 Thompson Rd, Coos Bay, OR 97420-2170 | 2015-03-20 |
1851407464 | Southwest Physical Therapy LLC | Clinic/Center | 1650 Thompson Rd, Coos Bay, OR 97420-2170 | 2006-08-23 |
Street Address |
279 N CENTRAL ST |
City | COQUILLE |
State | OR |
Zip Code | 97423-1241 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457919003 | Julie Ann Hage | Registered Nurse | 306s Irving, Coquile, OR 97423 | 2019-05-30 |
1730417106 | Pahls Dentistry PC | Dentist | 346 N. Central Blvd, Coquille, OR 97423 | 2009-11-24 |
1730223967 | Coquille Valley Hospital District | General Acute Care Hospital | 940 East Fifth Street, Coquille, OR 97423 | 2007-02-19 |
1942366687 | Douglas Deverne Day | Dentist | 346 N Central, Coquille, OR 97423 | 2006-12-28 |
1417040023 | County of Coos Coos County School District R8 | Local Education Agency (LEA) | 790 W 17th St, Coquille, OR 97423 | 2006-10-02 |
1689650673 | Douglas Gordon Crane | Internal Medicine | 940 East Fifth Street East Wing, Coquille, OR 97423 | 2005-12-21 |
1861945487 | Julian Andres Ospina | Family Medicine | 790 E 5th St, Coquille, OR 97423 | 2016-07-31 |
1326428475 | Kriti Choudhary | Family Medicine | 790 E 5th St, Coquille, OR 97423 | 2015-06-04 |
1538424346 | Paavani Atluri | Internal Medicine | 790 E 5th St, Coquille, OR 97423 | 2012-07-08 |
1164557179 | Coquille Valley Hospital District | Medicare Defined Swing Bed Unit | 940 E 5th St, Coquille, OR 97423 | 2007-02-22 |
Find all providers in zip 97423 |
Taxonomy Code | 261QR0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487280855 | Rehabcare Group East, LLC | Clinic/Center | 7320 Sw Hunziker Rd Ste 205, Tigard, OR 97223-2301 | 2020-03-18 |
1598130965 | Sarah Mcdonnell LLC | Clinic/Center | 512 Cascade Ave, Suite 100, Hood River, OR 97031-2126 | 2015-12-10 |
1043601602 | Infinity Rehab | Clinic/Center | 8750 Se 155th Ave, 18, Happy Valley, OR 97086-5533 | 2015-02-17 |
1922354703 | Oregon Housing and Associated Services, Inc. | Clinic/Center | 2582 19th St Se, Salem, OR 97302-1501 | 2012-07-30 |
1174857577 | Creative Therapy Connections, LLC | Clinic/Center | 5232 N Interstate Avenue, Portland, OR 97217 | 2009-10-01 |
1497979785 | Southwest Physical Therapy | Clinic/Center | 29286 Ellensburg, Gold Beach, OR 97444 | 2007-04-11 |
1154383321 | Pacific Rehabilitation & Sports Medicine Inc | Clinic/Center | 215 S Bridge St, Sheridan, OR 97378-1807 | 2006-04-04 |
1043272214 | Select Physical Therapy Orthopedic Services Inc | Clinic/Center | 24947 Highway 126, Suite D, Veneta, OR 97487 | 2006-04-04 |
1821096033 | Therapeutic Laser Center | Clinic/Center | 115 W Stewart Ave, Medford, OR 97501-3607 | 2005-07-12 |
1255843355 | Physical Therapy Northwest Limited Partnership | Clinic/Center | 685 36th Ave Ne, Salem, OR 97301-4741 | 2017-10-30 |
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.