Emerald Valley Physical Therapy, P.C.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1000 Issued in OR

Legal business name

EMERALD VALLEY PHYSICAL THERAPY, P.C.

Doing business as

Drain Physical Therapy

Practice address

600 Dale Kuni Rd Ste 170
Creswell, OR 97426-8703

Phone

(541) 895-2216

Fax

(541) 895-5204

NPI assigned

Apr 13, 2007

Last updated

Oct 30, 2007By the provider in NPPES

Organization subpart

Yes

Parent organization

EMERALD VALLEY PHYSICAL THERAPY, P.C.As reported in NPPES

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

Authorized official

Name

Patricia Lynn Feola, P.T.

Title

Owner

Phone

(541) 895-2863

Specialties & licenses 1

Addresses

Other names 1

• Drain Physical Therapy Doing business as

Part of

Emerald Valley Physical Therapy PC

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.

• Michael M Powell, D.C.

  • Chiropractor
  • Oakridge, OR
  • NPI 1871595298
  NPD (past)
• Raema Lynn Smith, PT

  • Physical Therapist
  • Creswell, OR
  • NPI 1013078112
  NPD (past)

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1083838478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32571 CAMAS SWALE RD",
            "city": "CRESWELL",
            "state": "OR",
            "postal_code": "974269832",
            "telephone_number": "541-895-2863",
            "fax_number": "541-895-5204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 DALE KUNI RD STE 170",
            "city": "CRESWELL",
            "state": "OR",
            "postal_code": "974268703",
            "telephone_number": "541-895-2216",
            "fax_number": "541-895-5204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD VALLEY PHYSICAL THERAPY, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EMERALD VALLEY PHYSICAL THERAPY, P.C.",
        "enumeration_date": "2007-04-13",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "FEOLA",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-895-2863",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "1000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Drain Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amyjean W Coumas, LMT
• Creswell SNF Healthcare LLC (Creswell Post Acute)
• Creswell Wellness Center
• Ashley Delu
• Robin Jay Edwards, CST/CFA
• Emerald Valley RX, LLC
• Emerald Valley RX, LLC
• Emerald Wellness, P.C. (Emerald Valley Wellness Clinic)
• Eyeland Family Optical LLC
• Modesto King Andrew Esguerra Formilleza V, OTR

• Physical Therapist in Creswell, OR
• Providers in Creswell, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.

Verify at the official NPI Registry.