Organization Active NPI

Salem Physical Therapy

  • Physical Therapist
  • Salem, OR
National Provider Identifier
1235311713
Registry record updated Nov 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SALEM PHYSICAL THERAPY
Practice address
1270 Center St NE
Salem, OR 97301-4113
Phone
(503) 581-7232
Fax
(503) 581-6511
NPI assigned
Nov 27, 2007
Last updated
Nov 27, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2007

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

Authorized official

Name
Ms. Kathleen A Marquardt, PTNPI 1437156460
Title
Partner
Phone
(503) 581-7232

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

1270 Center St NE
Salem, OR 97301-4113

Mailing address

33423 SW Ladd Hill Rd
Wilsonville, OR 97070-7548
Phone (503) 625-7954

Other identifiers 1

IdentifierTypeStateIssuer
089892MedicaidOR

National Provider Directory

National Provider Directory

Locations

1270 Center St NE
Salem, OR 97301
Phone (503) 581-7232

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1235311713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33423 SW LADD HILL RD",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970707548",
            "telephone_number": "503-625-7954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 CENTER ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973014113",
            "telephone_number": "503-581-7232",
            "fax_number": "503-581-6511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALEM PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-27",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "MARQUARDT",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "503-581-7232",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "089892",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; 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.