Active NPI
Providence Silverton Rehab LLC
- Physical Therapist
- Silverton, OR
National Provider Identifier
1659444610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- PROVIDENCE SILVERTON REHAB LLC
- Doing business as
- Silverton Rehabilitation Services
- Practice address
- 240 Phelps St
Silverton, OR 97381-1927 - Phone
- (503) 873-1647
- Fax
- (503) 779-2234
- NPI assigned
- Nov 16, 2006
- Organization subpart
- Yes
- Parent organization
- PROVIDENCE SILVERTON REHAB LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dana L Montgomery
- Title
- Chief Financial Officer
- Phone
- (503) 893-7295
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary | ||
| Occupational Therapist | 225X00000X |
Addresses
Primary practice location
240 Phelps St
Silverton, OR 97381-1927
Mailing address
PO Box 3290
Portland, OR 97208-3290
Phone (503) 215-4323
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DA5512 | Other | OR | RAILROAD MEDICARE PART B GROUP NUMBER |
| DA5512 | Other | OR | RAILROAD MEDICARE PART B |
Other names 1
- Silverton Rehabilitation Services
National Provider Directory
National Provider Directory- Part of
- Providence Silverton Rehab LLC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1349049600000",
"number": "1659444610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3290",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972083290",
"telephone_number": "503-215-4323",
"fax_number": "503-215-0297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 PHELPS ST",
"city": "SILVERTON",
"state": "OR",
"postal_code": "973811927",
"telephone_number": "503-873-1647",
"fax_number": "503-779-2234"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROVIDENCE SILVERTON REHAB LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PROVIDENCE SILVERTON REHAB LLC",
"enumeration_date": "2006-11-16",
"last_updated": "2012-10-01",
"status": "A",
"authorized_official_last_name": "MONTGOMERY",
"authorized_official_first_name": "DANA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "503-893-7295"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PART B GROUP NUMBER",
"identifier": "DA5512",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PART B",
"identifier": "DA5512",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Silverton Rehabilitation Services",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Silverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.