Achieve Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

ACHIEVE PHYSICAL THERAPY LLC

Practice address

1931 NW Mulholland Dr. #1
Roseburg, OR 97470-1978

Phone

(541) 672-5795

Fax

(541) 672-5796

NPI assigned

Jan 6, 2012

Last updated

Jan 6, 2012By 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

Jennifer M Gibbs, MPTNPI 1427387380

Title

Owner

Phone

(541) 672-5795

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Jennifer M Gibbs, MPT

  • Physical Therapist
  • Roseburg, OR
  • NPI 1427387380
  Authorized official Same address or phone

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

{
    "created_epoch": "1325808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325808000000",
    "number": "1194095232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1931 NW MULHOLLAND DR. #1",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974701978",
            "telephone_number": "541-672-5795",
            "fax_number": "541-672-5796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1931 NW MULHOLLAND DR. #1",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974701978",
            "telephone_number": "541-672-5795",
            "fax_number": "541-672-5796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACHIEVE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-06",
        "last_updated": "2012-01-06",
        "status": "A",
        "authorized_official_last_name": "GIBBS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-672-5795",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Abek I
• Shaun Gordon Abernathie, PHARMD
• Hennie Tambot Abrio, MD
• Access Dental Hygiene Services, LLC
• Ruben Acevedo III, D.C.
• Claudia Acosta
• Hashim Tadese Adam
• Brannick Don Adams, D.D.S.
• Christopher Kirk Adams, D.D.S.
• Karrie Diane Adams

• Physical Therapy Clinic/Center in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Physical Therapy Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2012; 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.