Michael Lorin Edgerton, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4121 Issued in OR

Practice address

Tai - Central Oregon Redmond
1315 NW 4TH Street, Suite B
Redmond, OR 97756-1328

Phone

(541) 923-7494

Fax

(541) 504-9153

NPI assigned

Jan 17, 2007

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437201548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "THERAPEUTIC ASSOCIATES INC.",
            "address_2": "11481 SW HALL BV STE 201",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972238403",
            "telephone_number": "800-219-8835",
            "fax_number": "503-443-1402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TAI - CENTRAL OREGON REDMOND",
            "address_2": "1315 NW 4TH STREET, SUITE B",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977561328",
            "telephone_number": "541-923-7494",
            "fax_number": "541-504-9153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDGERTON",
        "first_name": "MICHAEL",
        "middle_name": "LORIN",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "4121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ease Counseling LLC
• Craig P Eberle, MD
• Jodi Lorraine Eberly, RPH
• Christina T Echternach, CNM, FNP
• Christina Edgerton, LPC
• Lynae Edmonds, DNP, RN, PMHNP-BC
• Lisa Edmondson
• Michael Scott Edmondson, RPH
• Brianna Alyse Edmunson
• Victoria Edwards-Zartman, PHARMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.