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Therapeutic Associates Inc

Organization Active NPI Physical Therapist · Forest Grove, OR

NPI 1477539765 · NPPES record last updated Nov 3, 2022

Key facts

NPI
1477539765
Entity type
Organization (NPI type 2)
Primary specialty
Physical Therapist 225100000X
Legal business name
THERAPEUTIC ASSOCIATES INC
Practice address
3305 19TH Ave
Forest Grove, OR 97116-1909
Phone
(503) 357-9810
Fax
(503) 357-9819
NPI assigned
Dec 19, 2005
Organization subpart
No

Authorized official

Name
Mr. Todd Robert Gifford, PT
Title
Information Systems Director
Phone
(503) 443-6156

Corporate family (same tax ID) 24

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

Practitioners 60

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

View all 60

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OR

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040205000432 OR Part B Supplier - Clinic/Group Practice 0042116279 Receives reassigned benefits from 305 practitioners
This NPI is an additional NPI on the enrollment

National Provider Directory

Tax ID family
Sally J Miller PT (100 organizations share this tax ID)

Locations

3305 19th Ave
Forest Grove, OR 97116
Phone (503) 357-7194

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist
Group: 193200000X MULTI-SPECIALTY GROUP		 225100000X OR Yes

Addresses

Primary practice location

3305 19TH Ave
Forest Grove, OR 97116-1909

Mailing address

16083 SW Upper Boones Ferry Rd
Suite 300
Tigard, OR 97224-7736
Phone (800) 219-8835

Other names

  • TAI Forest Grove Physical Therapy Doing business as

Other providers in Forest Grove, OR

All providers in Forest Grove, OR · Physical Therapist in Oregon

Sources for this page

Verify at the official NPI Registry.