MPT LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

MPT LLC

Practice address

98158 W Benham LN Ste 10
Brookings, OR 97415-9546

Phone

(541) 286-5516

NPI assigned

Sep 3, 2019

Organization subpart

No

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

Authorized official

Name

Michael Thomas Zingg, PTNPI 1710991625

Title

Physical Therapist

Phone

(541) 286-5516

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR, CA2 enrollments

Enrollment records 2

Practitioners 1

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

• Michael Thomas Zingg, P.T.

  • Physical Therapist
  • Brookings, OR
  • NPI 1710991625

  CA

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1567468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567468800000",
    "number": "1487202362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4939",
            "city": "BROOKINGS",
            "state": "OR",
            "postal_code": "974150092",
            "telephone_number": "541-286-5516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98158 W BENHAM LN STE 10",
            "city": "BROOKINGS",
            "state": "OR",
            "postal_code": "974159546",
            "telephone_number": "541-286-5516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MPT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-03",
        "last_updated": "2019-09-03",
        "status": "A",
        "authorized_official_last_name": "ZINGG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "541-286-5516",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Lynn Moralli, L.M.T
• William D Morrell, DDS
• Ronald P Morro, MD
• Karen Broadbent Morrow, FNP
• Melissa Ann Morton
• Krystal M Myers
• Elizabeth A. Nation, RN
• National Vision, Inc.
• Charito Nava
• Cassandra Pauline Nelson

• Physical Therapy Clinic/Center in Brookings, OR
• Providers in Brookings, OR by specialty
• Physical Therapy Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; 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.

Verify at the official NPI Registry.