NPIMap

Organization Active NPI

Bear Creek Physical Therapy

  • Physical Therapist
  • Ashland, OR
National Provider Identifier
1407044191
Registry record updated Oct 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4792 Issued in OR
Legal business name
BEAR CREEK PHYSICAL THERAPY
Practice address
1801 Hwy 99 N
Suite 1
Ashland, OR 97520-9152
Phone
(541) 482-9051
Fax
(541) 482-9057
NPI assigned
Oct 9, 2007
Last updated
Oct 9, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2007

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

Authorized official

Name
Ms. Karen M Greene
Title
Office Manager
Phone
(541) 482-9051

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 4792 OR Primary

Addresses

Primary practice location

1801 Hwy 99 N
Suite 1
Ashland, OR 97520-9152

Mailing address

1801 Hwy 99 N
Suite 1
Ashland, OR 97520-9152
Phone (541) 482-9051

National Provider Directory

National Provider Directory
Tax ID family
Rodney Douglas Stewart3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

1801 Highway 99 N
Ste 1
Ashland, OR 97520
Phone (530) 926-1039

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1407044191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 HWY 99 N",
            "address_2": "SUITE 1",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975209152",
            "telephone_number": "541-482-9051",
            "fax_number": "541-482-9057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 HWY 99 N",
            "address_2": "SUITE 1",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975209152",
            "telephone_number": "541-482-9051",
            "fax_number": "541-482-9057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAR CREEK PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "541-482-9051",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "4792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.