Individual provider Active NPI

Buenagracia Gapasin, P.T.

  • Physical Therapist
  • Florence, OR
National Provider Identifier
1174825616
Registry record updated Dec 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6404 Issued in OR
Practice address
1951 21St St
Florence, OR 97439-9771
Phone
(541) 997-8436
NPI assigned
Dec 2, 2010
Last updated
Dec 2, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 6404 OR Primary

Addresses

Primary practice location

1951 21St St
Florence, OR 97439-9771

Mailing address

4480 Highway 101
Apt 13
Florence, OR 97439-8831
Phone (541) 999-9326

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260220002165 OR Practitioner - Physical Therapist in Private Practice 3577044296 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premere Rehab LLCGroup PAC ID 2567434764, 12 clinicians

Practice addresses (Care Compare)

4254 Weathers St NE
Salem, OR 97301-1933
Phone (971) 224-2841

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6404ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Premere Rehab LLC Physical Therapist CurrentSince Jan 7, 2026 Accepting new patients
Regency Florence LLC Past Accepting new patients

Locations

4254 Weathers St NE
Salem, OR 97301
Phone (503) 585-4602

8100 SW Nyberg St
Ste 200
Tualatin, OR 97062
Phone (360) 901-8111

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291248000000",
    "number": "1174825616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4480 HIGHWAY 101",
            "address_2": "APT 13",
            "city": "FLORENCE",
            "state": "OR",
            "postal_code": "974398831",
            "telephone_number": "541-999-9326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 21ST ST",
            "city": "FLORENCE",
            "state": "OR",
            "postal_code": "974399771",
            "telephone_number": "541-997-8436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAPASIN",
        "first_name": "BUENAGRACIA",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-02",
        "last_updated": "2010-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "6404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; 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.