Active NPI
Chester Delfin, PT
- Physical Therapist
- Salem, OR
National Provider Identifier
1255846309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6109
- Practice address
- 515 Taggart Dr NW Ste 150
Salem, OR 97304-4149 - Phone
- (503) 363-6770
- Fax
- (503) 363-4789
- NPI assigned
- Dec 12, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 6109 | OR | Primary |
Addresses
Primary practice location
515 Taggart Dr NW Ste 150
Salem, OR 97304-4149
Mailing address
3270 Liberty Rd. S.
Salem, OR 97302
Phone (503) 371-0779
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500737075 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6109 | OR | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapeutic Associates Inc | Physical Therapist | Past | Accepting new patients |
| Therapeutic Associates Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
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- Portland, OR
- NPI 1700862000
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- Physical Therapist
- Bothell, WA
- NPI 1114376563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567036800000",
"number": "1255846309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3270 LIBERTY RD. S.",
"city": "SALEM",
"state": "OR",
"postal_code": "97302",
"telephone_number": "503-371-0779",
"fax_number": "503-371-0886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 TAGGART DR NW STE 150",
"city": "SALEM",
"state": "OR",
"postal_code": "973044149",
"telephone_number": "503-363-6770",
"fax_number": "503-363-4789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELFIN",
"first_name": "CHESTER",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-12-12",
"last_updated": "2019-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "6109",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500737075",
"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 Aug 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.