Sheri Beth Prom, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6996 Issued in OR

Practice address

2101 NW Professional Dr
Suite #2
Corvallis, OR 97330-3888

Phone

(541) 752-0545

Fax

(541) 757-0545

NPI assigned

Oct 5, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Providence Health and Services OregonGroup PAC ID 0648183608, 1,423 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Providence Health & Services Oregon

  • General Practice Physician
  • Lake Oswego, OR
  • NPI 1023488343
  Medicare reassignment Care Compare group NPD
• Providence Health & Services - Oregon

  • Clinic/Center
  • Hood River, OR
  • NPI 1750631784
  NPD
• Providence Health & Services Oregon

  • Psychiatry Physician
  • Portland, OR
  • NPI 1760177737
  NPD
• Corvallis Sport and Spine Physical Therapy Inc

  • Physical Therapist
  • Albany, OR
  • NPI 1477991149
  NPD (past)
• Corvallis Sport and Spine Physical Therapy Inc

  • Physical Therapist
  • Corvallis, OR
  • NPI 1841388170
  NPD (past)
• Providence Health & Services - Oregon

  • Internal Medicine Physician
  • Sherwood, OR
  • NPI 1184729329
  NPD (past)

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

{
    "created_epoch": "1349395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349395200000",
    "number": "1386996999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 NW PROFESSIONAL DR",
            "address_2": "SUITE #2",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303888",
            "telephone_number": "541-752-0545",
            "fax_number": "541-757-0545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 NW PROFESSIONAL DR",
            "address_2": "SUITE #2",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303888",
            "telephone_number": "541-752-0545",
            "fax_number": "541-757-0545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROM",
        "first_name": "SHERI",
        "middle_name": "BETH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-05",
        "last_updated": "2012-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "6996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Preventive Dental LLC
• Marjorie L Pridgen, RMA
• Michelle Rae Priest
• Erica Dianne Prince, PH.D.
• Tanya Maria Pritt
• Rachel Proteau
• Jill M Provaznik, MD
• Providence Health & Services Oregon
• Sarah Pruitt, LCSW
• Benjamin Christopher Pudy

• Physical Therapist in Corvallis, OR
• Providers in Corvallis, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.