Siskiyou Pacific, Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

SISKIYOU PACIFIC, INC.

Practice address

512 Manzanita St
Central Point, OR 97502-2352

Phone

(541) 664-5151

Fax

(541) 664-5155

NPI assigned

Mar 9, 2007

Organization subpart

No

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

Authorized official

Name

Ernest W Eberling Jr., PT

Title

President/Provider

Phone

(541) 664-5151

Specialties & licenses 1

Addresses

Other names 1

• CENTRAL POINT PHYSICAL THERAPY Doing business as

Locations

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365033600000",
    "number": "1356473979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 BEALL LN",
            "city": "CENTRAL POINT",
            "state": "OR",
            "postal_code": "975021573",
            "telephone_number": "541-664-5151",
            "fax_number": "877-772-9433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 MANZANITA ST",
            "city": "CENTRAL POINT",
            "state": "OR",
            "postal_code": "975022352",
            "telephone_number": "541-664-5151",
            "fax_number": "541-664-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SISKIYOU PACIFIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2013-04-04",
        "status": "A",
        "authorized_official_last_name": "EBERLING",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT/PROVIDER",
        "authorized_official_telephone_number": "541-664-5151",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTRAL POINT PHYSICAL THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charles Shepherd
• Sage G Sherer, PA-C
• Susan Sherrill, MS QMHP
• Jack Guillermo Sibal, PA-C
• Signature Hospice Medford, LLC
• Faith Sixkiller
• Kurt Smet, M.S., ATC
• Peggy Joan Smith, RN
• Holly Ann Sorensen
• Patrick Nathan Soriano

• Physical Therapy Clinic/Center in Central Point, OR
• Providers in Central Point, OR by specialty
• Physical Therapy Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2013; 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.