Direct Physical Therapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5130 Issued in OR

Legal business name

DIRECT PHYSICAL THERAPY, LLC

Practice address

21850 Highway 62 Ste 203
Shady Cove, OR 97539-8715

Phone

(541) 941-5170

Fax

(541) 878-8111

NPI assigned

Feb 10, 2012

Organization subpart

No

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

Authorized official

Name

Lance D Cooper, P.T.NPI 1467503284

Title

Owner/Physical Therapist

Phone

(541) 941-5170

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 6

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.

• Ann Marie Sprague, DPT

  • Physical Therapist
  • Shady Cove, OR
  • NPI 1124060835
  Medicare reassignment NPD
• Lance Cooper, PT

  • Physical Therapist
  • Ashland, OR
  • NPI 1467503284
  Authorized official Same address or phone
• Scott L Brown, P.T.

  • Physical Therapist
  • Ashland, OR
  • NPI 1710213475
  NPD (past)
• Daniel Thomas Erchul, CRNA

  • Certified Registered Nurse Anesthetist
  • Ashland, OR
  • NPI 1285617654
  NPD (past)
• Mark Rany Greenberg, M.D.

  • Specialist
  • Ashland, OR
  • NPI 1982793931
  NPD (past)
• Jeffrey S Rinkoff, MD

  • Ophthalmology Physician
  • Medford, OR
  • NPI 1811962400
  NPD (past)

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

{
    "created_epoch": "1328832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745798400000",
    "number": "1205109014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "997 PATTON LN",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975209135",
            "telephone_number": "541-941-5170",
            "fax_number": "541-878-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21850 HIGHWAY 62 STE 203",
            "city": "SHADY COVE",
            "state": "OR",
            "postal_code": "975398715",
            "telephone_number": "541-941-5170",
            "fax_number": "541-878-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRECT PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-10",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "LANCE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "541-941-5170",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "5130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paige Chick
• Casey Dean Clingan, DMD
• Eleanor Crescenzi
• Orlinda Mae Delk, BA
• Kristin Carol Diasio, MS SPECIAL EDUCATION
• Valerie June Dubois, LCSW
• Gina Eilertson, D.C.
• Taylor Austin Ellson, DMD
• Kathleen Finley
• Kristen Ranae Gerhardt

• Physical Therapist in Shady Cove, OR
• Providers in Shady Cove, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.