Organization Active NPI

Nathan Lewis DPT, LLC

Doing business as Rogue Physical Therapy

  • Physical Therapist
  • Medford, OR
National Provider Identifier
1447766027
Registry record updated Jan 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
NATHAN LEWIS DPT, LLC
Doing business as
Rogue Physical Therapy
Practice address
14 Cottage St
Medford, OR 97504-7332
Phone
(541) 301-2499
Fax
(541) 500-3303
NPI assigned
Dec 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2021

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

Authorized official

Name
Nathan Lewis, DPT
Title
Licensed Physical Therapist
Phone
(541) 301-2499

Specialties & licenses 1

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

Addresses

Primary practice location

14 Cottage St
Medford, OR 97504-7332

Mailing address

945 Oak St
Ashland, OR 97520-1266
Phone (541) 301-2499

Other practice location 1

945 Oak St
Ashland, OR 97520-1266
Phone (541) 301-2499

Other identifiers 1

IdentifierTypeStateIssuer
1447766027MedicaidOR

Other names 1

  • Rogue Physical Therapy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1513641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609891200000",
    "number": "1447766027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 OAK ST",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201266",
            "telephone_number": "541-301-2499",
            "fax_number": "541-500-3303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 COTTAGE ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975047332",
            "telephone_number": "541-301-2499",
            "fax_number": "541-500-3303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "945 Oak St",
            "address_purpose": "LOCATION",
            "city": "Ashland",
            "state": "OR",
            "postal_code": "975201266",
            "country_code": "US",
            "telephone_number": "541-301-2499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NATHAN LEWIS DPT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-19",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "LICENSED PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "541-301-2499",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1447766027",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rogue Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Medford, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; 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.