Active NPI
Mountain Valley Therapy, Inc
- Physical Therapist
- La Grande, OR
National Provider Identifier
1659353035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3006
- Legal business name
- MOUNTAIN VALLEY THERAPY, INC
- Practice address
- 2519 Cove Ave
La Grande, OR 97850-3910 - Phone
- (541) 962-0830
- NPI assigned
- Nov 18, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James Gorham, PT
- Title
- Owner/Provider
- Phone
- (541) 962-0830
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3006 | OR | Primary |
| Occupational Therapist | 225X00000X |
Addresses
Primary practice location
2519 Cove Ave
La Grande, OR 97850-3910
Mailing address
2519 Cove Ave
La Grande, OR 97850-3910
Phone (541) 962-0830
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040213000395 | OR | Part B Supplier - Clinic/Group Practice | 9537053079 |
Receives reassigned benefits from 18 practitioners Practice locations: La Grande, OR |
National Provider Directory
National Provider DirectoryLocations
1207 Dewey Ave
Baker City, OR 97814
Phone (541) 523-9664
2519 Cove Ave
La Grande, OR 97850
Phone (541) 962-0830
Practitioners & affiliated clinicians
Practitioners 38
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": "1132272000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788220800000",
"number": "1659353035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2519 COVE AVE",
"city": "LA GRANDE",
"state": "OR",
"postal_code": "978503910",
"telephone_number": "541-962-0830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2519 COVE AVE",
"city": "LA GRANDE",
"state": "OR",
"postal_code": "978503910",
"telephone_number": "541-962-0830"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOUNTAIN VALLEY THERAPY, INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-18",
"last_updated": "2026-09-01",
"certification_date": "2026-09-01",
"status": "A",
"authorized_official_last_name": "GORHAM",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "OWNER/PROVIDER",
"authorized_official_telephone_number": "541-962-0830",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "OR",
"license": "3006",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Grande, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; 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.