Benchmark Physical Therapy of Or, LLC
Organization Active NPI Physical Therapist · Oregon City, OR
NPI 1013429927 · NPPES record last updated Nov 1, 2017
Key facts
- NPI
- 1013429927
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- BENCHMARK PHYSICAL THERAPY OF OR, LLC
- Practice address
- 1424 Molalla Ave
Oregon City, OR 97045-4004 - Phone
- (123) 456-7897
- NPI assigned
- Nov 1, 2017
- Organization subpart
- No
Authorized official
- Name
- Kevin Johanneson
- Title
- VP Revenue Cycle
- Phone
- (423) 238-2313
Other NPIs on the same Medicare enrollment 19
Corporate family (same tax ID) 43
Practitioners 7
-
Juliann Fronius, DPT
-
Holly Galis, DPT
-
Jane Laurice De Vera Garcillan, PT, DPT
-
Alexa Marie Barley, DPT
-
Andrea Betancur, PT
-
Danielle Nowlin, PT, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160613001008 | OR | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 0143510602 |
Receives reassigned benefits from 236 practitioners 19 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Salem, OR; Medford, OR; Milwaukie, OR; Molalla, OR; Gresham, OR; Oregon City, OR; Pacific City, OR; Prineville, OR… |
National Provider Directory
- Tax ID family
- Benchmark Physical Therapy of Oregon LLC
Locations
1515 W Main St
Ste E
Molalla, OR 97038
Phone (503) 776-0970
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes | ||
| Occupational Therapist |
225X00000X | |||
| Speech-Language Pathologist |
235Z00000X |
Addresses
Primary practice location
1424 Molalla Ave
Oregon City, OR 97045-4004
Mailing address
6397 Lee Hwy Ste 300
Chattanooga, TN 37421-2564
Phone (423) 238-7217
Other providers in Oregon City, OR
- Cameron Beard
- Brenden Behling
- Annie M Bell
- Ann Raissa Cayas Bella
- Nadav Ben-David
- Kristin Sentman Bendert
- Alan R Bengtzen
- Chelsea Bennett
- Jake Bennett
- Ryan Bennett
All providers in Oregon City, OR · Physical Therapist in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 1, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.