MIGHTY OAKS CHILDREN'S THERAPY CENTER


Address: 3615 Spicer Dr Se, Albany, OR 97322-7043
Phone: 5419677551

MIGHTY OAKS CHILDREN'S THERAPY CENTER (NPI# 1902935414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902935414
Entity Type Organization
Organization Name MIGHTY OAKS CHILDREN'S THERAPY CENTER
Other Organization Name MIGHTY OAKS DEVELOPMENTAL CENTER
Practice Address 3615 Spicer Dr Se
Albany
OR 97322-7043
Practice Telephone 5419677551
Practice Fax Number 5419675095
Mailing Telephone 5419677551
Mailing Fax Number 5419675095
Enumeration Date 2007-03-02
Last Update Date 2020-08-22
Authorized Official Name MRS. TAMI M WALTERS (EXECUTIVE DIRECTOR)
Authorized Official Telephone 5419677551
Authorized Official Credential M.O.T.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 2251P0200X Physical Therapist
Specialization: Pediatrics
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
X 225XP0200X Occupational Therapist
Specialization: Pediatrics
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
X 235Z00000X Speech-Language Pathologist Speech, Language and Hearing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
OR BLUE CROSS BLUE SHIELD 7008454 01

Other Provider/Organization Names

Other Name Type Code
Mighty Oaks Developmental Center Former Legal Business Name - Organization

Other Data Sources

Entity Type Entity Name Entity Address
Oregon Corporations, Companies and Business Names MIGHTY OAKS CHILDREN'S THERAPY CENTER 3615 Spicer Rd Se, Albany, OR 97322

Office Location

Street Address 3615 SPICER DR SE
City ALBANY
State OR
Zip Code 97322-7043

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619928645 Tami Marie Walters Occupational Therapist 3615 Spicer Dr Se, Albany, OR 97322-7043 2006-05-15
1609484815 Leila Laurila Speech-Language Pathologist 3615 Spicer Dr Se, Albany, OR 97322-7043 2020-07-14
1841818358 Charlotte Wright Speech-Language Pathologist 3615 Spicer Dr Se, Albany, OR 97322-7043 2020-07-10
1386262905 Billie Nadine Davis Speech-Language Pathologist 3615 Spicer Dr Se, Albany, OR 97322-7043 2020-07-09
1124653738 Susan May Stewart Speech-Language Pathologist 3615 Spicer Dr Se, Albany, OR 97322-7043 2020-03-04
1972145597 Analisa Vanoostrum Physical Therapist 3615 Spicer Dr Se, Albany, OR 97322-7043 2019-10-15
1568004497 Diana Lynne Scarborough Occupational Therapist 3615 Spicer Dr Se, Albany, OR 97322-7043 2019-10-11
1912564147 Hailey Amanda Eustice Speech-Language Pathologist 3615 Spicer Dr Se, Albany, OR 97322-7043 2019-05-22
1336654482 Kelly Elizabeth Calton Occupational Therapist 3615 Spicer Dr Se, Albany, OR 97322-7043 2017-12-12
1033463716 Amber Fleming Physical Therapist 3615 Spicer Dr Se, Albany, OR 97322-7043 2012-11-02
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1083109748 Benjamin Voth Counselor 1858 Grand Prairie Rd Se, Albany, OR 97322 2018-06-26
1033534748 Willamette Orthotics & Prosthetics, LLC Durable Medical Equipment & Medical Supplies 1630 9th Ave Se, Albany, OR 97322 2014-03-04
1699035998 Morgan William Brown Behavioral Analyst 1885 21 St Ave Se Apt 44, Albany, OR 97322 2012-05-21
1780986059 Gene Vang Pharmacist 1330 Goldfish Farm Rd Se, Albany, OR 97322 2010-11-18
1427362912 Kate Fredrickson Speech-Language Pathologist 5353 Columbus St. Se, Albany, OR 97322 2010-07-27
1689906455 Sandy Janiszewski Registered Nurse 1970 4th Ave. Se, Ste 120, Albany, OR 97322 2010-02-04
1841527066 Karina Leonore Towers Speech-Language Pathologist 5353 Columbus Street Se, Albany, OR 97322 2009-11-09
1548497951 T.c.s. Transportation, Inc. Non-emergency Medical Transport (VAN) 3012 Se Oakwood Avenue, Albany, OR 97322 2009-06-12
1790932952 Ramel C Romero Physical Therapist 5353 Colombus St Se, Albany, OR 97322 2008-08-19
1023275492 Michael James Hearing Instrument Specialist 1610 9th Av. Se, Albany, OR 97322 2008-05-21
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Taxonomy Information

Taxonomy Code 2251P0200X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Physical Therapist
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669675047 Lisa J. Herzog Physical Therapist 22 Bosher Dr, Albany, NY 12205-1702 2007-06-06
1447629050 Nancy Hellman Physical Therapist 26 Computer Dr E, Albany, NY 12205-1112 2015-09-24
1730589847 Athena Batsios Physical Therapist 1 Rapp Rd, Albany, NY 12203-4491 2014-08-26
1346487535 Antonia Margaret Aliberti Physical Therapist 1 Rapp Rd, Albany, NY 12203-4491 2009-01-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1275156101 Pace Pediatric Therapy, Inc. Physical Therapist 3701 Se Milwaukie Ave Ste G, Portland, OR 97202-3835 2020-05-27
1427691740 First Steps Physical Therapy, LLC Physical Therapist 911 Main St Ste 100, Oregon City, OR 97045-1853 2019-10-18
1467804773 Rebecca D. Sander Physical Therapist 17113 Sw Green Heron Dr, Sherwood, OR 97140-8972 2016-07-11
1841426434 Rebecca Additon Veltri Physical Therapist 32513 Joseph Ln, Philomath, OR 97370-9130 2009-06-09
1396943932 Kathleen Marie Hogan Physical Therapist 132 Formac Ave, Eugene, OR 97404-2606 2007-07-05
1306050646 Pediatric Therapyworks Physical Therapist 30714 Se Dodge Park Blvd, Gresham, OR 97080-8961 2007-05-09
1790814200 Susan Nicklin Physical Therapist 945 S Riverside Ave, Medford, OR 97501-7841 2007-03-02
1396898441 Johanna Lydia Buck Physical Therapist 400 Crater Lake Ave, Medford, OR 97504-6808 2007-01-20
1912068941 Sandra Lee Saavedra Physical Therapist 1763 Moss St, Eugene, OR 97403-1946 2006-12-13
1164598462 Joy Danielle Shank Physical Therapist 7203 Se Raymond St, Portland, OR 97206-4323 2006-11-28
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Competitor

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City ALBANY
Zip Code 97322

Improve Information

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Dataset Information

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.

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