Active NPI
Shannon Rose Wurgler
- Physical Therapist
- Oregon City, OR
National Provider Identifier
1285290676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 610 High St
Oregon City, OR 97045-2241 - Phone
- (503) 657-8903
- Fax
- (503) 650-4302
- NPI assigned
- May 13, 2019
- Sex
- Female
- 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 | Primary |
Addresses
Primary practice location
610 High St
Oregon City, OR 97045-2241
Mailing address
16560 SW Woodcrest Ave
Tigard, OR 97224-5436
Phone (503) 970-0077
Other practice location 1
2274 SW 2nd St Ste D
McMinnville, OR 97128-5597
Phone (971) 261-2159
Other practice location 2
27501 SW 95th Ave Ste 960
Wilsonville, OR 97070-7713
Phone (503) 855-3223
Other practice location 3
5289 NE Elam Young Pkwy
Hillsboro, OR 97124-6428
Phone (503) 372-5147
Other names 1
- Shannon Rose Graham
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560124800000",
"number": "1285290676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16560 SW WOODCREST AVE",
"city": "TIGARD",
"state": "OR",
"postal_code": "972245436",
"telephone_number": "503-970-0077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 HIGH ST",
"city": "OREGON CITY",
"state": "OR",
"postal_code": "970452241",
"telephone_number": "503-657-8903",
"fax_number": "503-650-4302"
}
],
"practiceLocations": [
{
"address_1": "2274 SW 2nd St Ste D",
"address_purpose": "LOCATION",
"city": "McMinnville",
"state": "OR",
"postal_code": "971285597",
"country_code": "US",
"telephone_number": "971-261-2159",
"fax_number": "503-883-9782",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "27501 SW 95th Ave Ste 960",
"address_purpose": "LOCATION",
"city": "Wilsonville",
"state": "OR",
"postal_code": "970707713",
"country_code": "US",
"telephone_number": "503-855-3223",
"fax_number": "503-855-3319",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5289 NE Elam Young Pkwy",
"address_purpose": "LOCATION",
"city": "Hillsboro",
"state": "OR",
"postal_code": "971246428",
"country_code": "US",
"telephone_number": "503-372-5147",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WURGLER",
"first_name": "SHANNON",
"middle_name": "ROSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-13",
"last_updated": "2019-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHANNON",
"last_name": "GRAHAM",
"middle_name": "ROSE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Oregon City, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.