NPIMap

Organization Active NPI

Confederated Tribes of the Warm Springs Reservation of Oregon

  • Physical Therapist
  • Warm Springs, OR
National Provider Identifier
1376199398
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CONFEDERATED TRIBES OF THE WARM SPRINGS RESERVATION OF OREGON
Practice address
2124 Warm Springs St.
Warm Springs, OR 97761
Phone
(541) 777-2663
NPI assigned
Aug 15, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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

Authorized official

Name
Michele Stacona
Title
Secretary-Treasurer/Ceo
Phone
(541) 553-3232

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

2124 Warm Springs St.
Warm Springs, OR 97761

Mailing address

PO Box C
Warm Springs, OR 97761-3001
Phone (541) 777-2663

National Provider Directory

National Provider Directory
Tax ID family
Confederated Tribes of the Warm Springs Reservation of Oregon4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1565827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643673600000",
    "number": "1376199398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX C",
            "city": "WARM SPRINGS",
            "state": "OR",
            "postal_code": "977613001",
            "telephone_number": "541-777-2663",
            "fax_number": "541-777-2662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2124 WARM SPRINGS ST.",
            "city": "WARM SPRINGS",
            "state": "OR",
            "postal_code": "97761",
            "telephone_number": "541-777-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONFEDERATED TRIBES OF THE WARM SPRINGS RESERVATION OF OREGON",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-15",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A",
        "authorized_official_last_name": "STACONA",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "SECRETARY-TREASURER/CEO",
        "authorized_official_telephone_number": "541-553-3232"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warm Springs, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; 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.