Individual provider Active NPI

Sally M Muir, DPT, OCS

  • Orthopedic Physical Therapist
  • The Dalles, OR
National Provider Identifier
1104018449
Registry record updated Apr 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
60083 Issued in OR
Practice address
551 Lone Pine Blvd Ste 103
The Dalles, OR 97058-9403
Phone
(541) 298-7202
Fax
(541) 298-8008
NPI assigned
Aug 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 6552061-2401 UT
Physical Therapist 225100000X 2364 AK
Orthopedic Physical Therapist 2251X0800X 60083 OR Primary

Addresses

Primary practice location

551 Lone Pine Blvd Ste 103
The Dalles, OR 97058-9403

Mailing address

551 Lone Pine Blvd Ste 103
The Dalles, OR 97058-9403
Phone (541) 298-7202

Other practice location 1

33 Nichols Pkwy
Hood River, OR 97031-3121
Phone (541) 386-2441

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130212000566 OR Practitioner - Physical Therapist in Private Practice 8628117603 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Surgical Specialists PCGroup PAC ID 4183527153, 118 clinicians

Practice addresses (Care Compare)

1 N Ctr Court St
110 Rebound Sports Medicine
Portland, OR 97227-2104
Phone (503) 732-6863

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2364AKMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Surgical Specialists PC CurrentSince Aug 13, 2023 Accepting new patients
Northwest Surgical Specialists, P.C. CurrentSince Aug 13, 2023 Accepting new patients
J and D Physical Therapy Services Physical Therapist Past Accepting new patients
Mid-Columbia Medical Center Past Accepting new patients

Locations

1700 12th St
Ste C
Hood River, OR 97031
Phone (541) 386-9735

1 N Center Court St
Ste 11
Portland, OR 97227
Phone (503) 732-6863

200 NE Mother Joseph Pl
Ste 210
Vancouver, WA 98664
Phone (360) 449-1145

Interoperability endpoints

  • Direct secure messaging: sally.muirdptocs.p1@direct.reboundmd.nextgenshare.com

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586390400000",
    "number": "1104018449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 LONE PINE BLVD STE 103",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970589403",
            "telephone_number": "541-298-7202",
            "fax_number": "541-298-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 LONE PINE BLVD STE 103",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970589403",
            "telephone_number": "541-298-7202",
            "fax_number": "541-298-8008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33 Nichols Pkwy",
            "address_purpose": "LOCATION",
            "city": "Hood River",
            "state": "OR",
            "postal_code": "970313121",
            "country_code": "US",
            "telephone_number": "541-386-2441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUIR",
        "first_name": "SALLY",
        "middle_name": "M",
        "credential": "DPT, OCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-10",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "6552061-2401",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "2364",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OR",
            "license": "60083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Dalles, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2020; 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.