Oregon Physical Therapy at Timberhill LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

OREGON PHYSICAL THERAPY AT TIMBERHILL LLC

Practice address

2865 NW 29TH St
Corvallis, OR 97330-3516

Phone

(541) 243-8199

NPI assigned

Nov 12, 2018

Organization subpart

No

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

Authorized official

Name

Kyle Larkin

Title

Owner

Phone

(503) 528-6864

Specialties & licenses 1

Addresses

Other names 1

• Oregon Physical Therapy At Timberhill Former legal business name

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Allen Joki, PT

  • Physical Therapist
  • Corvallis, OR
  • NPI 1952388399
  Medicare reassignment Care Compare group NPD
• Kathryn L Moen, P.T

  • Physical Therapist
  • Corvallis, OR
  • NPI 1609919737
  Medicare reassignment Care Compare group NPD
• Mayron M Yip-NG, PT, MTC, OCS

  • Orthopedic Physical Therapist
  • Corvallis, OR
  • NPI 1811016215
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1541980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542240000000",
    "number": "1326516972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2865 NW 29TH ST",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2865 NW 29TH ST",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303516",
            "telephone_number": "541-243-8199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OREGON PHYSICAL THERAPY AT TIMBERHILL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-12",
        "last_updated": "2018-11-15",
        "status": "A",
        "authorized_official_last_name": "LARKIN",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-528-6864"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oregon Physical Therapy At Timberhill",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Oregon Physical Therapy At Timberhill",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2018; 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.

Verify at the official NPI Registry.