Oregon Medical Group at Thurston Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

OREGON MEDICAL GROUP AT THURSTON PHYSICAL THERAPY

Practice address

5781 Main St
Springfield, OR 97478-5426

Phone

(541) 284-1694

Fax

(541) 242-4760

NPI assigned

Mar 3, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Bradley Vernon Schwin

Title

Director

Phone

(541) 242-4178

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306813795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5781 MAIN ST",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "97478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5781 MAIN ST",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974785426",
            "telephone_number": "541-284-1694",
            "fax_number": "541-242-4760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OREGON MEDICAL GROUP AT THURSTON PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHWIN",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "VERNON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "541-242-4178",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Springfield, OR
• Providers in Springfield, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.