Josh Farrester, DPT
Individual provider Active NPI Physical Therapist · Madras, OR
NPI 1306227707 · NPPES record last updated Apr 22, 2021
Key facts
- NPI
- 1306227707
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 61093 (OR)
- Practice address
- 230 SW 5TH St
Madras, OR 97741-1341 - Phone
- (541) 475-1218
- Fax
- (541) 475-7647
- NPI assigned
- Jun 11, 2015
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61093 | OR | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physical Therapist | 225100000X | 61093 | OR | Yes |
Addresses
Primary practice location
230 SW 5TH St
Madras, OR 97741-1341
Mailing address
1200 Corporate Dr
Ste 400
Hoover, AL 35242-5424
Phone (423) 755-1793
Other providers in Madras, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 22, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.