Upper Rogue Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5137 Issued in OR

Legal business name

UPPER ROGUE PHYSICAL THERAPY

Practice address

21850 Highway 62 Ste 203
Shady Cove, OR 97539-8715

Phone

(541) 941-5170

Fax

(541) 878-8111

NPI assigned

Jul 11, 2012

Organization subpart

No

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

Authorized official

Name

Ann Marie Sprague, P.T., D.P.T.NPI 1124060835

Title

Owner

Phone

(541) 941-5170

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ann Marie Sprague, DPT

  • Physical Therapist
  • Shady Cove, OR
  • NPI 1124060835
  Authorized official Same address or phone
• Scott L Brown, P.T.

  • Physical Therapist
  • Ashland, OR
  • NPI 1710213475
  NPD (past)

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

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710460800000",
    "number": "1043575418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "997 PATTON LN",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975209135",
            "telephone_number": "541-941-5170",
            "fax_number": "541-878-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21850 HIGHWAY 62 STE 203",
            "city": "SHADY COVE",
            "state": "OR",
            "postal_code": "975398715",
            "telephone_number": "541-941-5170",
            "fax_number": "541-878-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPPER ROGUE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-11",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A",
        "authorized_official_last_name": "SPRAGUE",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-941-5170",
        "authorized_official_credential": "P.T., D.P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "5137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sisters of Providence in Oregon (PMG South Shady Cove)
• Shane Smedley, QMHA-R, CRM, PSS-AD
• Ann Marie Sprague, DPT
• Sarah Joyce Spriggs, LMT, BCTMB
• David Lee Thompson, PTA
• Ginger Marie Whitt X

• Physical Therapist in Shady Cove, OR
• Providers in Shady Cove, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; 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.