Organization Active NPI

Jeff State Physical Therapy

  • Orthopedic Physical Therapist
  • Ashland, OR
National Provider Identifier
1619307113
Registry record updated May 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
5597 Issued in OR
Legal business name
JEFF STATE PHYSICAL THERAPY
Practice address
850 Siskiyou Blvd Ste 5
Ashland, OR 97520
Phone
(541) 248-7706
NPI assigned
Nov 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2018

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

Authorized official

Name
Jeffrey GarbiNPI 1699945592
Title
Provider
Phone
(541) 636-0099

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)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X 5597 OR Primary

Addresses

Primary practice location

850 Siskiyou Blvd Ste 5
Ashland, OR 97520

Mailing address

245 Patterson St
Ashland, OR 97520-1283
Phone (541) 248-7706

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180612001871 OR Part B Supplier - Clinic/Group Practice 8426311952 Receives reassigned benefits from 1 practitioner
Practice locations: Ashland, OR; Medford, OR

National Provider Directory

National Provider Directory

Locations

850 Siskiyou Blvd
Ste 6
Ashland, OR 97520
Phone (541) 326-2880

850 Siskiyou Blvd
Ste 5
Ashland, OR 97520
Phone (541) 248-7706

1150 Iowa St
Ashland, OR 97520
Phone (541) 201-3183

915 W 10th St
Medford, OR 97501
Phone (541) 201-3183

Practitioners & affiliated clinicians

Practitioners 1

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": "1384819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527033600000",
    "number": "1619307113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 PATTERSON ST",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201283",
            "telephone_number": "541-248-7706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 SISKIYOU BLVD STE 5",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "97520",
            "telephone_number": "541-248-7706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFF STATE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-19",
        "last_updated": "2018-05-23",
        "status": "A",
        "authorized_official_last_name": "GARBI",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "541-636-0099"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OR",
            "license": "5597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2018; 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.