Organization Active NPI

Therapeutic Services LLC

  • Rehabilitation Clinic/Center
  • Roseburg, OR
National Provider Identifier
1336479971
Registry record updated Nov 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
THERAPEUTIC SERVICES LLC
Practice address
470 NE Stephens St
Suite 102
Roseburg, OR 97470-3158
Phone
(541) 673-5770
Fax
(541) 673-5774
NPI assigned
Jan 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2016

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

Authorized official

Name
Mr. James Diemert, OTR
Title
Owner/Member
Phone
(541) 680-7373

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

470 NE Stephens St
Suite 102
Roseburg, OR 97470-3158

Mailing address

470 NE Stephens St
Suite 102
Roseburg, OR 97470-3158
Phone (541) 673-5770

Other names 1

  • Therapy Plus Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100303000238 OR Part B Supplier - Clinic/Group Practice 0648315614 Receives reassigned benefits from 3 practitioners
Practice locations: Roseburg, OR

National Provider Directory

National Provider Directory

Locations

470 NE Stephens St
Roseburg, OR 97470
Phone (541) 673-5770

470 NE Stephens St
Ste 102
Roseburg, OR 97470
Phone (541) 673-5770

2285 NW Stewart Pkwy
Ste 101
Roseburg, OR 97471
Phone (541) 673-5770

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1262563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477958400000",
    "number": "1336479971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 NE STEPHENS ST",
            "address_2": "SUITE 102",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974703158",
            "telephone_number": "541-673-5770",
            "fax_number": "541-673-5774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 NE STEPHENS ST",
            "address_2": "SUITE 102",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974703158",
            "telephone_number": "541-673-5770",
            "fax_number": "541-673-5774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-04",
        "last_updated": "2016-11-01",
        "status": "A",
        "authorized_official_last_name": "DIEMERT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "541-680-7373",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Therapy Plus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roseburg, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2016; 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.