Organization Active NPI

Oregon Spine and Physical Therapy

  • Physical Therapy Assistant
  • Creswell, OR
National Provider Identifier
1023025590
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
Legal business name
OREGON SPINE AND PHYSICAL THERAPY
Practice address
182 Melton Road
Creswell, OR 97426
Phone
(541) 895-5913
Fax
(541) 895-5941
NPI assigned
Aug 1, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Judy Cirullo, PT
Title
Owner
Phone
(541) 895-5913

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Ergonomics Physical Therapist 2251E1200X
Geriatric Physical Therapist 2251G0304X
Neurology Physical Therapist 2251N0400X
Pediatric Physical Therapist 2251P0200X
Sports Physical Therapist 2251S0007X
Orthopedic Physical Therapist 2251X0800X
Physical Therapy Assistant 225200000X Primary

Addresses

Primary practice location

182 Melton Road
Creswell, OR 97426

Mailing address

PO Box 363
Creswell, OR 97426-0363
Phone (541) 895-5913

National Provider Directory

National Provider Directory
Tax ID family
Oregon Spine Physical Therapy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1023025590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 363",
            "city": "CRESWELL",
            "state": "OR",
            "postal_code": "974260363",
            "telephone_number": "541-895-5913",
            "fax_number": "541-895-5941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 MELTON ROAD",
            "city": "CRESWELL",
            "state": "OR",
            "postal_code": "97426",
            "telephone_number": "541-895-5913",
            "fax_number": "541-895-5941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OREGON SPINE AND PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "CIRULLO",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-895-5913",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251E1200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Ergonomics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Creswell, OR

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.