Therapeutic Associates Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

THERAPEUTIC ASSOCIATES INC

Practice address

996 NW Circle Blvd
Suite 101
Corvallis, OR 97330-1410

Phone

(541) 757-0878

Fax

(541) 757-0879

NPI assigned

Dec 19, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Todd Robert Gifford, PT

Title

Information Systems Director

Phone

(503) 443-6156

Specialties & licenses 2

Addresses

Other names 1

• Therapeutic Associates Kings Road Physical Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351468800000",
    "number": "1366428757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16083 SW UPPER BOONES FERRY RD",
            "address_2": "STE 300",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972247736",
            "telephone_number": "800-219-8835",
            "fax_number": "503-639-9699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "996 NW CIRCLE BLVD",
            "address_2": "SUITE 101",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973301410",
            "telephone_number": "541-757-0878",
            "fax_number": "541-757-0879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-19",
        "last_updated": "2012-10-29",
        "status": "A",
        "authorized_official_last_name": "GIFFORD",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "INFORMATION SYSTEMS DIRECTOR",
        "authorized_official_telephone_number": "503-443-6156",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Therapeutic Associates Kings Road Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Corvallis Clinic PC
• The Corvallis Clinic, P.C.
• The Counseling Place LLC
• Cynthia Thelen
• Molly Marie Theodore
• Gregory Thielen, OTR
• Gretchen Thielman
• Catherine Ann Thomas, PHARMD
• Kaitlin Thomas
• Kaylee Astrid Thomas, MD

• All providers in Corvallis, OR
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2012; 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.