Active NPI
Wes L Rau, PT
- Physical Therapist
- Redmond, OR
National Provider Identifier
1043330855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1990
- Practice address
- 450 NW Greenwood Ave
Redmond, OR 97756-1531 - Phone
- (541) 923-0410
- Fax
- (541) 923-7393
- NPI assigned
- Mar 29, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1990 | OR | Primary |
Addresses
Primary practice location
450 NW Greenwood Ave
Redmond, OR 97756-1531
Mailing address
450 NW Greenwood Ave
Redmond, OR 97756-1531
Phone (541) 923-0410
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 138030 | Other | OR | MEDICARE ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1990 | OR | MD | Group Psychotherapy Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Omnis Omnia Inc. | Past | Accepting new patients | |
| New Proactive LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Orthopedic Physical Therapist
- Redmond, OR
- NPI 1013949239
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192147200000",
"number": "1043330855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 NW GREENWOOD AVE",
"city": "REDMOND",
"state": "OR",
"postal_code": "977561531",
"telephone_number": "541-923-0410",
"fax_number": "541-923-7393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 NW GREENWOOD AVE",
"city": "REDMOND",
"state": "OR",
"postal_code": "977561531",
"telephone_number": "541-923-0410",
"fax_number": "541-923-7393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAU",
"first_name": "WES",
"middle_name": "L",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-29",
"last_updated": "2007-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "1990",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "138030",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Redmond, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.