Individual provider Active NPI

Orrin Preheim, PT, DPT

  • Physical Therapist
  • Longview, WA
National Provider Identifier
1083351548
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT61248114 Issued in WA
Practice address
625 9TH Ave Ste 220
Longview, WA 98632-2465
Phone
(360) 578-1188
NPI assigned
May 17, 2022
Last updated
May 17, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT61248114 WA Primary

Addresses

Primary practice location

625 9TH Ave Ste 220
Longview, WA 98632-2465

Mailing address

4125 S Settler Dr Apt 157
Ridgefield, WA 98642-5496
Phone (360) 578-1188

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220713002192 WA Practitioner - Physical Therapist in Private Practice 3476934159 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Longview Physical and Sports Therapy Services PSGroup PAC ID 6305832668, 8 clinicians

Practice addresses (Care Compare)

625 9TH Ave
Suite 220
Longview, WA 98632-2465
Phone (360) 578-1188

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Longview Physical and Sports Therapy Services PS Physical Therapist CurrentSince May 23, 2022 Accepting new patients

Locations

625 9th Ave
Ste 220
Longview, WA 98632
Phone (360) 578-1188

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1652745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1083351548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4125 S SETTLER DR APT 157",
            "city": "RIDGEFIELD",
            "state": "WA",
            "postal_code": "986425496",
            "telephone_number": "360-578-1188",
            "fax_number": "360-578-6251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 9TH AVE STE 220",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986322465",
            "telephone_number": "360-578-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREHEIM",
        "first_name": "ORRIN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-17",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61248114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; 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.