Lincoln City Physical Therapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

LINCOLN CITY PHYSICAL THERAPY, LLC

Practice address

3007 NE West Devils Lake Rd
Lincoln City, OR 97367-5131

Phone

(541) 994-6252

NPI assigned

Feb 9, 2007

Organization subpart

No

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

Authorized official

Name

Charito A MinaNPI 1386690600

Title

Director

Phone

(541) 994-6252

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charito Apolonio Mina, P.T.

  • Physical Therapist
  • Lincoln City, OR
  • NPI 1386690600
  NPD (past) Authorized official

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362441600000",
    "number": "1073654166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3007 NE WEST DEVILS LAKE RD",
            "city": "LINCOLN CITY",
            "state": "OR",
            "postal_code": "973675131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3007 NE WEST DEVILS LAKE RD",
            "city": "LINCOLN CITY",
            "state": "OR",
            "postal_code": "973675131",
            "telephone_number": "541-994-6252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN CITY PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2013-03-05",
        "status": "A",
        "authorized_official_last_name": "MINA",
        "authorized_official_first_name": "CHARITO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "541-994-6252"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128392",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lincare Inc.
• Lincoln City Family Dental LLC
• Lincoln City Immediate Care
• Lincoln City Medical Center, PC
• Lincoln City Pharmacy & Gifts
• Lincoln City, LLC
• Lincolshire
• Deborah Anne Litberg, MSW
• Erik Morales Locson, O.T.R./L.
• Theresa Long, LMT

• Physical Therapist in Lincoln City, OR
• Providers in Lincoln City, 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 5, 2013; 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.