Organization Active NPI

First Choice Physical Therapy, PC

  • Physical Therapy Clinic/Center
  • Roseburg, OR
National Provider Identifier
1669672630
Registry record updated Jun 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
4760 Issued in OR
Legal business name
FIRST CHOICE PHYSICAL THERAPY, PC
Practice address
2395 NW Stewart Pkwy
Roseburg, OR 97471-5653
Phone
(541) 229-2212
Fax
(541) 229-2213
NPI assigned
Jul 18, 2007
Last updated
Jun 30, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2011

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

Authorized official

Name
Jeff Macdonald, BS, EXSS
Title
Owner
Phone
(541) 229-2212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 4760 OR Primary

Addresses

Primary practice location

2395 NW Stewart Pkwy
Roseburg, OR 97471-5653

Mailing address

2395 NW Stewart Pkwy
Roseburg, OR 97471-5653
Phone (541) 229-2212

National Provider Directory

National Provider Directory

Locations

250 NE Garden Valley Blvd
Ste 7
Roseburg, OR 97470
Phone (541) 229-2912

NPI Registry JSON

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309392000000",
    "number": "1669672630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2395 NW STEWART PKWY",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974715653",
            "telephone_number": "541-229-2212",
            "fax_number": "541-229-2213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2395 NW STEWART PKWY",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974715653",
            "telephone_number": "541-229-2212",
            "fax_number": "541-229-2213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CHOICE PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-18",
        "last_updated": "2011-06-30",
        "status": "A",
        "authorized_official_last_name": "MACDONALD",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-229-2212",
        "authorized_official_credential": "BS, EXSS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "OR",
            "license": "4760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseburg, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2011; 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.