Valley Plastic Surgery LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

VALLEY PLASTIC SURGERY LLC

Practice address

280 S Pacific Hwy
Talent, OR 97540-6649

Phone

(541) 512-4771

Fax

(541) 512-0880

NPI assigned

Dec 13, 2011

Organization subpart

No

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

Authorized official

Name

Alexis Allison Tracy, DONPI 1689870750

Title

Physician

Phone

(304) 520-6644

Specialties & licenses 2

Addresses

Other names 1

• Valley Plastic Surgery Other name

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Listed as

Valley Plastic SurgeryCCN 38C0001100

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

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

• Alexis A Tracy, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Talent, OR
  • NPI 1689870750

  OR

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1323734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747699200000",
    "number": "1124396544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 S PACIFIC HWY",
            "city": "TALENT",
            "state": "OR",
            "postal_code": "975406649",
            "telephone_number": "541-512-4771",
            "fax_number": "541-512-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 S PACIFIC HWY",
            "city": "TALENT",
            "state": "OR",
            "postal_code": "975406649",
            "telephone_number": "541-512-4771",
            "fax_number": "541-512-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY PLASTIC SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-13",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A",
        "authorized_official_last_name": "TRACY",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_middle_name": "ALLISON",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "304-520-6644",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Plastic Surgery",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• The Movement Studio Inc.
• Theo Stewart-Franzen, PSYD LLC
• Thrive Within Counseling
• Alexis A Tracy, D.O.
• Turning Point Physical Therapy LLC
• Julie Marie Vonmoss, CCC-SLP
• Vyshnu P.C
• Kalesh Weaver, LMT
• Timothy Victor Westfeldt, MS
• Mackenzie Grace Whitley, LMT, CA

• Ambulatory Surgical Clinic/Center in Talent, OR
• Providers in Talent, OR by specialty
• Ambulatory Surgical Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; 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.