Active NPI
Core Physical Therapy and Rehabilitation PC
- Physical Therapy Clinic/Center
- Roseburg, OR
National Provider Identifier
1174807481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 4760
- Legal business name
- CORE PHYSICAL THERAPY AND REHABILITATION PC
- Practice address
- 4886 Grange Rd
Roseburg, OR 97471-5834 - Phone
- (541) 430-8890
- NPI assigned
- Oct 5, 2011
- 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
- Mr. Curtis Vaughn Price, MSPT
- Title
- Physical Therapist
- Phone
- (541) 430-8890
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 4760 | OR | Primary |
Addresses
Primary practice location
4886 Grange Rd
Roseburg, OR 97471-5834
Mailing address
1562 Stearns LN
Oakland, OR 97462-8712
Phone (541) 430-8890
National Provider Directory
National Provider DirectoryLocations
4880 Grange Rd
Roseburg, OR 97471
Phone (541) 391-4712
4886 Grange Rd
Roseburg, OR 97471
Phone (541) 391-4712
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317772800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1317772800000",
"number": "1174807481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1562 STEARNS LN",
"city": "OAKLAND",
"state": "OR",
"postal_code": "974628712",
"telephone_number": "541-430-8890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4886 GRANGE RD",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "974715834",
"telephone_number": "541-430-8890"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORE PHYSICAL THERAPY AND REHABILITATION PC",
"organizational_subpart": "NO",
"enumeration_date": "2011-10-05",
"last_updated": "2011-10-05",
"status": "A",
"authorized_official_last_name": "PRICE",
"authorized_official_first_name": "CURTIS",
"authorized_official_middle_name": "VAUGHN",
"authorized_official_title_or_position": "PHYSICAL THERAPIST",
"authorized_official_telephone_number": "541-430-8890",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MSPT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "OR",
"license": "4760",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roseburg, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.