Active NPI
Western Reserve Rehab Group LLC
- Rehabilitation Practitioner
- Salem, OR
National Provider Identifier
1346429644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- License
- MD27171
- 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 LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006277 | Medicaid | OR |
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.