Northwest Physical Therapy, Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

NORTHWEST PHYSICAL THERAPY, INC

Practice address

2510 NW Edenbower Blvd
#124
Roseburg, OR 97471-8899

Phone

(541) 957-5825

Fax

(541) 957-5801

NPI assigned

Jul 20, 2007

Last updated

Aug 28, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rebecca Ibarra

Title

Office Manager

Phone

(541) 957-5825

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

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.

• Dan Richard Ibarra, P.T.

  • Physical Therapist
  • Roseburg, OR
  • NPI 1073680328
  Medicare reassignment NPD
• Shannon M Forrestall, MSPT

  • Physical Therapist
  • Salem, OR
  • NPI 1598743999
  NPD (past)

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219881600000",
    "number": "1144420910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 NW EDENBOWER BLVD",
            "address_2": "#124",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974718899",
            "telephone_number": "541-957-5825",
            "fax_number": "541-957-5801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 NW EDENBOWER BLVD",
            "address_2": "#124",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974718899",
            "telephone_number": "541-957-5825",
            "fax_number": "541-957-5801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-20",
        "last_updated": "2008-08-28",
        "status": "A",
        "authorized_official_last_name": "IBARRA",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "541-957-5825"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North River Pediatrics, LLC (North River Pediatrics)
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• Northwest Eye Center PC
• Northwest Eye Center, PC (Optical Weston)
• Northwest HC Oak Park Or Operator NT-Hci LLC (Avamere at Oak Park)
• David NT
• Elia Nunez
• Nutra-Sense LLC
• Shannon O'Leary, PHARMD
• Michael O'Sullivan

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2008; 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.

Verify at the official NPI Registry.