Active NPI
Merit Rehab, LLC
Doing business as Timberhill Physical Therapy
- Physical Therapist
- Corvallis, OR
National Provider Identifier
1164755070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- MERIT REHAB, LLC
- Doing business as
- Timberhill Physical Therapy
- Practice address
- 2865 NW 29TH St
Corvallis, OR 97330-3516 - Phone
- (541) 752-0083
- Fax
- (541) 752-9624
- NPI assigned
- Sep 9, 2009
- Last updated
- Jul 21, 2014
- 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
- Rick McDaniel
- Title
- President
- Phone
- (503) 705-4962
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NU | Primary |
Addresses
Primary practice location
2865 NW 29TH St
Corvallis, OR 97330-3516
Mailing address
25117 SW Parkway Ave
Suite D
Wilsonville, OR 97070-9697
Phone (503) 783-2491
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R149078 | Other | OR | PTAN |
Other names 1
- Timberhill Physical Therapy
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252454400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1405900800000",
"number": "1164755070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25117 SW PARKWAY AVE",
"address_2": "SUITE D",
"city": "WILSONVILLE",
"state": "OR",
"postal_code": "970709697",
"telephone_number": "503-783-2491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2865 NW 29TH ST",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973303516",
"telephone_number": "541-752-0083",
"fax_number": "541-752-9624"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERIT REHAB, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-09-09",
"last_updated": "2014-07-21",
"status": "A",
"authorized_official_last_name": "MCDANIEL",
"authorized_official_first_name": "RICK",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "503-705-4962"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "R149078",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Timberhill Physical Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Corvallis, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.