Therapeutic Associates Inc
Organization Active NPI Physical Therapist · Tualatin, OR
NPI 1295711646 · NPPES record last updated Jan 23, 2013
Key facts
- NPI
- 1295711646
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- THERAPEUTIC ASSOCIATES INC
- Practice address
- 5916 SW Nyberg LN
Tualatin, OR 97062-9750 - Phone
- (503) 692-4934
- Fax
- (503) 691-9655
- NPI assigned
- Dec 19, 2005
- Organization subpart
- No
Authorized official
- Name
- Mr. Todd Robert Gifford
- Title
- Information Systems Director
- Phone
- (503) 443-6156
Corporate family (same tax ID) 24
Practitioners 12
-
Stephanie Juelle Hartman, PT, DPT
-
Noah Marek, PT
-
Hannah Quinn, DPT
-
Jennifer Lynn Russell Tostenrud, PHYSICAL THERAPIST
-
Felicity Michelle Woebkenberg, MACOM, LAC, RN, BSN
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040205000432 | OR | Part B Supplier - Clinic/Group Practice | 0042116279 |
Receives reassigned benefits from 305 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
- Tax ID family
- Sally J Miller PT
Locations
702 SW Ramsey Ave
Ste 220
Grants Pass, OR 97527
Phone (541) 479-0765
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | OR | Yes | |
| Occupational Therapist |
225X00000X |
Addresses
Primary practice location
5916 SW Nyberg LN
Tualatin, OR 97062-9750
Mailing address
16083 SW Upper Boones Ferry Rd
Suite 300
Tigard, OR 97224-7736
Phone (800) 219-8835
Other names
- TAI Tualutin Physical Therapy
Other providers in Tualatin, OR
- David Ross Tenhulzen
- Janet C Terranova
- Olivia Terris
- The Jackson Macy Clinic LLC
- The Sports & Spine Center PC
- Curtis Richard Thiessen
- Madison Thomas Bradshaw
- Thomas P McWeeney MD PC
- Thomas P. McWeeney MD PC
- Carrie Ann Thomas
All providers in Tualatin, OR · Physical Therapist in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 23, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.