Active NPI
Sisters Physical Therapy, LLC.
- Physical Therapy Clinic/Center
- Sisters, OR
National Provider Identifier
1053197947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- SISTERS PHYSICAL THERAPY, LLC.
- Practice address
- 100 Lundgren Mill Dr.
#103
Sisters, OR 97759 - Phone
- (503) 487-7025
- NPI assigned
- Sep 6, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Paul Daniel Erlebach, DPT
- Title
- Owner
- Phone
- (503) 487-7025
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
100 Lundgren Mill Dr.
#103
Sisters, OR 97759
Mailing address
100 Lundgren Mill Dr.
#103
Sisters, OR 97759
Phone (503) 487-7025
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
411 E Carpenter Ln
Sisters, OR 97759
Phone (458) 256-0627
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Sisters, OR
- NPI 1821672221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693958400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1695600000000",
"number": "1053197947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 LUNDGREN MILL DR.",
"address_2": "#103",
"city": "SISTERS",
"state": "OR",
"postal_code": "97759",
"telephone_number": "503-487-7025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 LUNDGREN MILL DR.",
"address_2": "#103",
"city": "SISTERS",
"state": "OR",
"postal_code": "97759",
"telephone_number": "503-487-7025"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SISTERS PHYSICAL THERAPY, LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-06",
"last_updated": "2023-09-25",
"certification_date": "2023-09-25",
"status": "A",
"authorized_official_last_name": "ERLEBACH",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "DANIEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "503-487-7025",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sisters, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.