Active NPI
Carlos L. Loera Jr., PT, DPT
- Physical Therapist
- Redmond, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 64227
- Practice address
- 1315 NW 4TH St Apt B
Redmond, OR 97756-1328 - Phone
- (541) 504-2350
- Fax
- (541) 504-2354
- NPI assigned
- Jul 7, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | PT00002041 | WA | |
| Physical Therapist | 225100000X | 64227 | OR | Primary |
Addresses
Primary practice location
1315 NW 4TH St Apt B
Redmond, OR 97756-1328
Mailing address
8293 Vireo CT
Redmond, OR 97756-9661
Other practice location 1
3807 W Court St
Pasco, WA 99301-2778
Phone (509) 547-3725
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 025208 | WA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapeutic Associates Inc | Physical Therapist | Current | Accepting new patients |
| Rebound Physical Therapy Limited Partnership | Physical Therapist | Current | Accepting new patients |
| Peak Physical Therapy P C | Physical Therapist | Current | Accepting new patients |
| Rebound Physical Therapy Limited Partnership | Physical Therapist | Current | Accepting new patients |
| Therapeutic Associates Inc | Physical Therapist | Current | Accepting new patients |
| Therapeutic Associates Inc | Physical Therapist | Current | Accepting new patients |
| Therapeutic Associates Inc | Physical Therapist | Past | Accepting new patients |
Locations
16315 SW Barrows Rd
Ste 205
Beaverton, OR 97007
Phone (503) 521-0500
805 SW Industrial Way
Ste 3
Bend, OR 97702
Phone (541) 323-5864
2200 NE Neff Rd
Ste 202
Bend, OR 97701
Phone (541) 388-7738
1303 NE Cushing Dr
Ste 150
Bend, OR 97701
Phone (541) 382-7875
61615 Athletic Club Dr
Bend, OR 97702
Phone (541) 382-7890
2911 Tennyson Ave
Ste 204
Eugene, OR 97408
Phone (541) 515-6194
702 SW Ramsey Ave
Ste 220
Grants Pass, OR 97527
Phone (541) 479-0765
5955 Shoreview Ln N
Ste 100
Keizer, OR 97303
Phone (503) 463-4221
8028 NE Glisan St
Ste B
Portland, OR 97213
Phone (503) 253-0924
10215 SW Parkway
Ste D
Portland, OR 97225
Phone (503) 292-3583
1590 NE 3rd St
Ste 2
Prineville, OR 97754
Phone (541) 416-7476
1315 NW 4th St
Apt B
Redmond, OR 97756
Phone (541) 504-2350
1717 NE 2nd St
Redmond, OR 97756
Phone (541) 332-9045
2040 NW Newcastle St
Roseburg, OR 97471
Phone (541) 673-1808
58147 Columbia River Hwy
Ste A
Saint Helens, OR 97051
Phone (503) 397-1914
20055 SW Pacific Hwy
Ste 110
Sherwood, OR 97140
Phone (503) 625-1691
16083 SW Upper Boones Ferry Rd
Ste 300
Tigard, OR 97224
Phone (503) 443-6153
29100 SW Town Center Loop W
Ste 190
Wilsonville, OR 97070
Phone (503) 570-7600
3807 W Court St
Pasco, WA 99301
Phone (509) 547-3725
Organizations & group practices 7
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.
-
- Physical Therapist
- Bend, OR
- NPI 1164888764
-
dba TAI Mt. Ashland Physical Therapy
- Physical Therapist
- Ashland, OR
- NPI 1972589364
-
- Durable Medical Equipment & Medical Supplies
- Prineville, OR
- NPI 1497571525
Physical Therapist
-
dba TAI - Myrtle Creek Physical Therapy
- Physical Therapist
- Myrtle Creek, OR
- NPI 1093242240
-
- Physical Therapist
- Boise, ID
- NPI 1073551560
-
dba TAI Cedar Hills Physical Therapy
- Physical Therapist
- Portland, OR
- NPI 1700862000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660089600000",
"number": "1285666438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8293 VIREO CT",
"city": "REDMOND",
"state": "OR",
"postal_code": "977569661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1315 NW 4TH ST APT B",
"city": "REDMOND",
"state": "OR",
"postal_code": "977561328",
"telephone_number": "541-504-2350",
"fax_number": "541-504-2354"
}
],
"practiceLocations": [
{
"address_1": "3807 W Court St",
"address_purpose": "LOCATION",
"city": "Pasco",
"state": "WA",
"postal_code": "993012778",
"country_code": "US",
"telephone_number": "509-547-3725",
"fax_number": "509-547-9852",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOERA",
"first_name": "CARLOS",
"middle_name": "L.",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2022-08-10",
"certification_date": "2022-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "PT00002041",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "64227",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redmond, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.