Therapeutic Associates Inc
Organization Active NPI Physical Therapist · Oak Grove, OR
NPI 1609354729 · NPPES record last updated Jul 31, 2018
Key facts
- NPI
- 1609354729
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- THERAPEUTIC ASSOCIATES INC
- Practice address
- 15796 SE McLoughlin Blvd
Oak Grove, OR 97267-3854 - Phone
- (503) 443-6156
- Fax
- (503) 639-9699
- NPI assigned
- Jul 31, 2018
- Organization subpart
- Yes
- Parent organization (as reported)
- THERAPEUTIC ASSOCIATES, INC
Authorized official
- Name
- Todd Gifford
- Title
- Ceo
- Phone
- (503) 443-6156
Corporate family (same tax ID) 24
Practitioners 5
-
James W Cavin, PT
-
Kristina Colebank, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Part of
- Sally J Miller PT
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes | ||
| Occupational Therapist |
225X00000X |
Addresses
Primary practice location
15796 SE McLoughlin Blvd
Oak Grove, OR 97267-3854
Mailing address
16083 SW Upper Boones Ferry Rd Ste 300
Tigard, OR 97224-7736
Phone (800) 219-8835
Other names
- TAI - Oak Grove
Other providers in Oak Grove, OR
- Inna V Shimanovsky
- Solace & Enrichment Counseling Services LLC
- Kevin H Speer
- Christopher Kent Stewart
- Glen Allen Suchanek I
All providers in Oak Grove, OR · Physical Therapist in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.