Ontario Physical Therapy PC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

981352 Issued in OR

Legal business name

ONTARIO PHYSICAL THERAPY PC

Practice address

49 NW 1St St
Suite 1
Ontario, OR 97914-2468

Phone

(541) 889-4550

Fax

(541) 889-4628

NPI assigned

Nov 29, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Glenn Dodge, DPTNPI 1417021494

Title

President

Phone

(541) 889-4550

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Glenn Dodge, DPT

  • Physical Therapist
  • Ontario, OR
  • NPI 1417021494
  Medicare reassignment NPD Authorized official
• Patricia Ann Aarestad, R.P.T.

  • Physical Therapist
  • Ontario, OR
  • NPI 1740356500
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1003983602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 NW 1ST ST",
            "address_2": "SUITE 1",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979142468",
            "telephone_number": "541-889-4550",
            "fax_number": "541-889-4628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 NW 1ST ST",
            "address_2": "SUITE 1",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979142468",
            "telephone_number": "541-889-4550",
            "fax_number": "541-889-4628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONTARIO PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "DODGE",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-889-4550",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "3474",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "981352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ontario Ear, Nose and Throat
• Ontario Emergency Specialists, LLC
• Ontario Pathology Group, LLP
• Ontario Pharmacy Inc
• Ontario Pharmacy Inc
• Ontario School District 8C
• Ontario School District 8C
• Ontario VA Clinic
• Oregon Department of Corrections
• Martin Ortiz

• Occupational Therapist in Ontario, OR
• Providers in Ontario, OR by specialty
• Occupational Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.