Active NPI
First Choice Physical Therapy, PC
- Physical Therapy Clinic/Center
- Roseburg, OR
National Provider Identifier
1669672630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 4760
- 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, 2011
- 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
- Jeff Macdonald, BS, EXSS
- Title
- Owner
- Phone
- (541) 229-2212
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.