Orofino Physical Therapy and Wellness Inc

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

RPT-053 Issued in ID

Legal business name

OROFINO PHYSICAL THERAPY AND WELLNESS INC

Practice address

1005 Michigan Ave
Orofino, ID 83544

Phone

(208) 476-9365

Fax

(208) 476-9366

NPI assigned

Feb 14, 2007

Last updated

Aug 3, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John M Garrison, RPT

Title

Owner

Phone

(208) 476-9365

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186099200000",
    "number": "1598808099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1236",
            "city": "OROFINO",
            "state": "ID",
            "postal_code": "835441236",
            "telephone_number": "208-476-9365",
            "fax_number": "208-476-9366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 MICHIGAN AVE",
            "city": "OROFINO",
            "state": "ID",
            "postal_code": "83544",
            "telephone_number": "208-476-9365",
            "fax_number": "208-476-9366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OROFINO PHYSICAL THERAPY AND WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2007-08-03",
        "status": "A",
        "authorized_official_last_name": "GARRISON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-476-9365",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "ID",
            "license": "RPT-053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brett T Mumford, D.O.
• Carissa Jo Myers, LMSW
• Sarah Colleen Nelson, LMT
• Kristy Lou Olson, MS
• Orofino Chiropractic, PLLC (Orofino Spine Center)
• Orofino Physical Therapy, PLLC
• Orofino Retirement Properties Inc (Brookside Landing)
• Owc, Inc. (Orofino Wellness Center)
• Phillip H Petersen, MD
• Patricia Peterson, R.PH.

• Physical Medicine & Rehabilitation Physician in Orofino, ID
• Providers in Orofino, ID by specialty
• Physical Medicine & Rehabilitation Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2007; 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.