Organization Active NPI

Core Physical Therapy and Rehabilitation PC

  • Physical Therapy Clinic/Center
  • Roseburg, OR
National Provider Identifier
1174807481
Registry record updated Oct 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
4760 Issued in OR
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

Updated by the provider on Oct 5, 2011

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.