Organization Active NPI

BPM Physical Therapy Center Inc

  • Physical Therapy Clinic/Center
  • Salem, OR
National Provider Identifier
1245390004
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
2636 Issued in OR
Legal business name
BPM PHYSICAL THERAPY CENTER INC
Practice address
233 Madrona Ave SE
Salem, OR 97302-4609
Phone
(503) 566-7782
Fax
(503) 566-7783
NPI assigned
Dec 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Sally J Galver Jr.
Title
Office Manager
Phone
(503) 566-7782

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 2636 OR Primary

Addresses

Primary practice location

233 Madrona Ave SE
Salem, OR 97302-4609

Mailing address

233 Madrona Ave SE
Salem, OR 97302-4609
Phone (503) 566-7782

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031105000502 OR Part B Supplier - Clinic/Group Practice 3476465584 Receives reassigned benefits from 2 practitioners
Practice locations: Salem, OR

National Provider Directory

National Provider Directory

Locations

233 Madrona Ave SE
Salem, OR 97302
Phone (503) 566-7782

Practitioners & affiliated clinicians

Practitioners 5

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": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245390004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 MADRONA AVE SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024609",
            "telephone_number": "503-566-7782",
            "fax_number": "503-566-7783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 MADRONA AVE SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024609",
            "telephone_number": "503-566-7782",
            "fax_number": "503-566-7783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BPM PHYSICAL THERAPY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GALVER",
        "authorized_official_first_name": "SALLY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "503-566-7782",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "OR",
            "license": "2636",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 22, 2020; 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.