Trask River Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1696 Issued in OR

Legal business name

TRASK RIVER THERAPY LLC

Practice address

27025 Trask River Rd
Tillamook, OR 97141-8988

Phone

(503) 842-7305

Fax

(503) 842-0447

NPI assigned

Aug 6, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Susan Diane Knotts, P.T. L.M.T.

Title

Registered Agent

Phone

(503) 842-7305

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1217980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217980800000",
    "number": "1659537991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27025 TRASK RIVER RD",
            "city": "TILLAMOOK",
            "state": "OR",
            "postal_code": "971418988",
            "telephone_number": "503-842-7305",
            "fax_number": "503-842-0447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27025 TRASK RIVER RD",
            "city": "TILLAMOOK",
            "state": "OR",
            "postal_code": "971418988",
            "telephone_number": "503-842-7305",
            "fax_number": "503-842-0447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRASK RIVER THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-06",
        "last_updated": "2008-08-06",
        "status": "A",
        "authorized_official_last_name": "KNOTTS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "REGISTERED AGENT",
        "authorized_official_telephone_number": "503-842-7305",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "P.T. L.M.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "1696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jennifer L Travis, QMHP
• Benjamin J Turman
• Michelle Charlene Turner, LCSW
• TVC OD, LLC
• Krystine Valle

• Physical Therapist in Tillamook, OR
• Providers in Tillamook, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2008; 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.