Organization Active NPI

WHD Corporation

Doing business as The Jungle Gym Pediatric Therapy Center

  • Pediatric Physical Therapist
  • Klamath Falls, OR
National Provider Identifier
1538369723
Registry record updated Jun 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
2063 Issued in OR
Legal business name
WHD CORPORATION
Doing business as
The Jungle Gym Pediatric Therapy Center
Practice address
306 S 6TH St
Klamath Falls, OR 97601-6114
Phone
(541) 887-7362
Fax
(541) 273-2486
NPI assigned
Jul 25, 2007
Last updated
Jun 4, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2015

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

Authorized official

Name
Mrs. Dena Lynn Dixon, M.S., P.T.
Title
Owner/Physical Therapist
Phone
(541) 887-7362

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 2063 OR Primary
Pediatric Occupational Therapist 225XP0200X 242685 OR
Speech-Language Pathologist 235Z00000X 12514 OR

Addresses

Primary practice location

306 S 6TH St
Klamath Falls, OR 97601-6114

Mailing address

PO Box 1359
Klamath Falls, OR 97601-0075
Phone (541) 882-1540

Other identifiers 2

IdentifierTypeStateIssuer
4720537MedicaidCA
182019MedicaidOR

Other names 1

  • The Jungle Gym Pediatric Therapy Center Doing business as

National Provider Directory

National Provider Directory

Locations

229 S 6th St
Klamath Falls, OR 97601
Phone (541) 892-2537

306 S 6th St
Klamath Falls, OR 97601
Phone (541) 273-2486

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433376000000",
    "number": "1538369723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1359",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976010075",
            "telephone_number": "541-882-1540",
            "fax_number": "541-882-2583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 S 6TH ST",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976016114",
            "telephone_number": "541-887-7362",
            "fax_number": "541-273-2486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHD CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2015-06-04",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "DENA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "541-887-7362",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S., P.T."
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "OR",
            "license": "2063",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "OR",
            "license": "242685",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "12514",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4720537",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182019",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Jungle Gym Pediatric Therapy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Klamath Falls, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; 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.