Organization Active NPI

Western Reserve Rehab Group LLC

  • Rehabilitation Practitioner
  • Salem, OR
National Provider Identifier
1346429644
Registry record updated Mar 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
License
MD27171 Issued in OR
Legal business name
WESTERN RESERVE REHAB GROUP LLC
Practice address
2561 Center St NE
Salem, OR 97301-4600
Phone
(503) 561-5976
Fax
(503) 561-4912
NPI assigned
Nov 2, 2007
Organization subpart
Yes
Parent organization
WESTERN RESERVE REHAB GROUP LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 5, 2010

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

Authorized official

Name
Maria A Armstrong Murphy, MD
Title
Managing Member
Phone
(216) 702-6944

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 225400000X MD27171 OR Primary

Addresses

Primary practice location

2561 Center St NE
Salem, OR 97301-4600

Mailing address

4628 SW 49TH Ave
Portland, OR 97221-3019
Phone (216) 702-6944

Other identifiers 1

IdentifierTypeStateIssuer
006277MedicaidOR

National Provider Directory

National Provider Directory
Part of
Western Reserve Rehab Group

Locations

2561 Center St NE
Salem, OR 97301
Phone (503) 561-5902

NPI Registry JSON

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

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267747200000",
    "number": "1346429644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4628 SW 49TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972213019",
            "telephone_number": "216-702-6944",
            "fax_number": "503-477-7338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2561 CENTER ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973014600",
            "telephone_number": "503-561-5976",
            "fax_number": "503-561-4912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN RESERVE REHAB GROUP LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WESTERN RESERVE REHAB GROUP LLC",
        "enumeration_date": "2007-11-02",
        "last_updated": "2010-03-05",
        "status": "A",
        "authorized_official_last_name": "ARMSTRONG MURPHY",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "216-702-6944",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": "OR",
            "license": "MD27171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006277",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2010; 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.