Active NPI
Treasure Valley Physical Therapy Inc
- Physical Therapist
- Ontario, OR
National Provider Identifier
1477573087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4106
- Legal business name
- TREASURE VALLEY PHYSICAL THERAPY INC
- Practice address
- 2671 SW 4TH Ave
Ontario, OR 97914-1833 - Phone
- (541) 889-2221
- Fax
- (541) 889-3437
- NPI assigned
- Jul 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Daniel Chudleigh, PT
- Title
- President
- Phone
- (541) 889-2221
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4106 | OR | Primary |
Addresses
Primary practice location
2671 SW 4TH Ave
Ontario, OR 97914-1833
Mailing address
PO Box 1336
Ontario, OR 97914-1054
Phone (541) 889-2221
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, ID
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
501 N 16th St
Ste 105
Payette, ID 83661
501 N 16th St
Ste 104
Payette, ID 83661
Phone (208) 739-4453
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1477573087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1336",
"city": "ONTARIO",
"state": "OR",
"postal_code": "979141054",
"telephone_number": "541-889-2221",
"fax_number": "541-889-3437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2671 SW 4TH AVE",
"city": "ONTARIO",
"state": "OR",
"postal_code": "979141833",
"telephone_number": "541-889-2221",
"fax_number": "541-889-3437"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TREASURE VALLEY PHYSICAL THERAPY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CHUDLEIGH",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "541-889-2221",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "OR",
"license": "4106",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ontario, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.