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Bear Creek Physical Therapy

Organization Active NPI Physical Therapist · Ashland, OR

NPI 1407044191 · NPPES record last updated Oct 9, 2007

Key facts

NPI
1407044191
Entity type
Organization (NPI type 2)
Primary specialty
Physical Therapist 225100000X
License
4792 (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
Organization subpart
No

Authorized official

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

Corporate family (same tax ID) 2

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

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Ruby Mountain Physical Therapy (3 organizations share this tax ID)

Locations

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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist
Group: 193400000X SINGLE SPECIALTY GROUP		 225100000X 4792 OR Yes

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 9, 2007.

{
    "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

All providers in Ashland, OR · Physical Therapist in Oregon

Sources for this page

Verify at the official NPI Registry.