Active NPI
Good Samaritan Hospital, Corvallis
- Physical Therapist
- Corvallis, OR
National Provider Identifier
1083980916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- GOOD SAMARITAN HOSPITAL, CORVALLIS
- Practice address
- 3640 NW Samaritan Dr
Corvallis, OR 97330-3784 - Phone
- (541) 768-4920
- Fax
- (541) 768-4929
- NPI assigned
- Mar 26, 2012
- 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
- Steve W Jasperson
- Title
- Ceo
- Phone
- (541) 768-5009
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary | ||
| Occupational Therapist | 225X00000X |
Addresses
Primary practice location
3640 NW Samaritan Dr
Corvallis, OR 97330-3784
Mailing address
3640 NW Samaritan Dr
Corvallis, OR 97330-3784
Phone (541) 768-4920
Other names 1
- Samaritan Hand Therapy Specialist
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Corvallis, OR
- NPI 1861451916
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1332720000000",
"number": "1083980916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3640 NW SAMARITAN DR",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973303784",
"telephone_number": "541-768-4920",
"fax_number": "541-768-4929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3640 NW SAMARITAN DR",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973303784",
"telephone_number": "541-768-4920",
"fax_number": "541-768-4929"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOOD SAMARITAN HOSPITAL, CORVALLIS",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-26",
"last_updated": "2012-03-26",
"status": "A",
"authorized_official_last_name": "JASPERSON",
"authorized_official_first_name": "STEVE",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "541-768-5009"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Samaritan Hand Therapy Specialist",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Corvallis, OR
- Good Samaritan Hospital Corvallis
- Good Samaritan Hospital Corvallis
- Good Samaritan Hospital Corvallis
- Good Samaritan Hospital Corvallis
- Good Samaritan Hospital Corvallis
- Good Samaritan Regional Medical Center
- Good Samirtan Regional Medical Center
- Teigen Goodeill, DO
- Elisa Kaye Gooding
- Sarah Goodman-Strong
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2012; 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.