Quisto G Oucharek, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

06955 Issued in OR

Practice address

600 NW 11TH St Ste E31
Hermiston, OR 97838-8604

Phone

(541) 667-3657

NPI assigned

Jul 30, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Center for Functional Health PLLCGroup PAC ID 7012396674, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: centerforfunctionalhealth.quistooucharek@151770.advancedmd-direct.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Center for Functional Health PLLC

  • Primary Care Clinic/Center
  • Kennewick, WA
  • NPI 1295470268

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1375142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375142400000",
    "number": "1023440237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 NW 11TH ST STE E31",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978388604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 NW 11TH ST STE E31",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978388604",
            "telephone_number": "541-667-3657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OUCHAREK",
        "first_name": "QUISTO",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-30",
        "last_updated": "2013-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "06955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oregon Washington Health Network- Centro Copes
• Abbigail Orozco, QMHA
• Amanda Ortega, QMHP
• Orthopedic Surgical Services, LLC
• Candace Rene Osgood, PMHNP-BC
• Lyndrea Overall
• Juana Pablo Lorenzo
• Pacific Vision Care, Inc.
• Kurtis Paine
• Brenda Palacios

• Physical Therapist in Hermiston, OR
• Providers in Hermiston, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.