South Lane Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

1553 Issued in OR

Legal business name

SOUTH LANE PHYSICAL THERAPY LLC

Practice address

303 E Main St
Cottage Grove, OR 97424-2032

Phone

(541) 968-9901

NPI assigned

Oct 5, 2014

Organization subpart

No

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

Authorized official

Name

Christina Marie Karcher, PTNPI 1437140910

Title

Co-Owner

Phone

(541) 968-9901

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 3

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

• Christina M Karcher, PT, OCS

  • Physical Therapist
  • Cottage Grove, OR
  • NPI 1437140910
  Medicare reassignment Care Compare group NPD Authorized official
• William S Hogg, PT

  • Physical Therapist
  • Eugene, OR
  • NPI 1326058710
  Medicare reassignment Care Compare group NPD
• Michael Aaron Schwentner

  • Physical Therapy Assistant
  • Medford, OR
  • NPI 1932715612
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1412467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412467200000",
    "number": "1275936296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1327",
            "city": "CRESWELL",
            "state": "OR",
            "postal_code": "974261327",
            "telephone_number": "541-968-9901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E MAIN ST",
            "city": "COTTAGE GROVE",
            "state": "OR",
            "postal_code": "974242032",
            "telephone_number": "541-968-9901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH LANE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-05",
        "last_updated": "2014-10-05",
        "status": "A",
        "authorized_official_last_name": "KARCHER",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "541-968-9901",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "OR",
            "license": "1553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noeul Song
• South Lane Children'S Dental Clinic
• South Lane County Fire and Rescue
• South Lane Mental Health Services, Inc
• South Lane Mental Health Services, Inc
• South Lane Wheels, Inc.
• Dana Marie Sparks
• Jennifer Leigh Sperry
• Judith Dolene Stensland, FNP
• Kimberly Rae Stober, FNP

• Physical Therapy Clinic/Center in Cottage Grove, OR
• Providers in Cottage Grove, OR by specialty
• Physical Therapy Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2014; 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.