Organization Active NPI

Emergence Physical Therapy

  • Physical Therapist
  • Redmond, OR
National Provider Identifier
1225617210
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
EMERGENCE PHYSICAL THERAPY
Practice address
494 SW Veterans Way Ste 1
Redmond, OR 97756-6408
Phone
(541) 338-7088
Fax
(541) 345-3559
NPI assigned
Apr 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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

Authorized official

Name
Rachel Roach, DPTNPI 1215917398
Title
Co-Owner
Phone
(541) 338-7088

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

494 SW Veterans Way Ste 1
Redmond, OR 97756-6408

Mailing address

494 SW Veterans Way Ste 1
Redmond, OR 97756-6408
Phone (541) 338-7088

Other identifiers 2

IdentifierTypeStateIssuer
1215917398OtherORSTATE OF OREGON
1952381006OtherORSTATE OF OREGON

National Provider Directory

National Provider Directory

Locations

494 SW Veterans Way
Ste 1
Redmond, OR 97756
Phone (541) 338-7088

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1617667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617667200000",
    "number": "1225617210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "494 SW VETERANS WAY STE 1",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977566408",
            "telephone_number": "541-338-7088",
            "fax_number": "541-345-3559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "494 SW VETERANS WAY STE 1",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977566408",
            "telephone_number": "541-338-7088",
            "fax_number": "541-345-3559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERGENCE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-06",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A",
        "authorized_official_last_name": "ROACH",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "541-338-7088",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF OREGON",
            "identifier": "1215917398",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF OREGON",
            "identifier": "1952381006",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; 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.