Southern Oregon Physical Therapy Associates Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

SOUTHERN OREGON PHYSICAL THERAPY ASSOCIATES INC.

Practice address

924 S Riverside Ave
Medford, OR 97501-7842

Phone

(541) 773-7678

Fax

(541) 773-5517

NPI assigned

Apr 18, 2007

Organization subpart

No

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

Authorized official

Name

Leesa D Nystrom, PT

Title

President

Phone

(541) 773-7678

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• June M Altunel, PT

  • Physical Therapist
  • Medford, OR
  • NPI 1962402669
  NPD (past)
• Kelley Frakes, P.T.

  • Physical Therapist
  • Medford, OR
  • NPI 1790909190
  NPD (past)
• Lori Freed, PT

  • Physical Therapist
  • Oregon City, OR
  • NPI 1851566137
  NPD (past)

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435276800000",
    "number": "1669698353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 S RIVERSIDE AVE",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975017842",
            "telephone_number": "541-773-7678",
            "fax_number": "541-773-5517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 S RIVERSIDE AVE",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975017842",
            "telephone_number": "541-773-7678",
            "fax_number": "541-773-5517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN OREGON PHYSICAL THERAPY ASSOCIATES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2015-06-26",
        "status": "A",
        "authorized_official_last_name": "NYSTROM",
        "authorized_official_first_name": "LEESA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-773-7678",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern Oregon Nutrition & Diabetes Training Center
• Southern Oregon Oral and Maxillofacial Surgeons
• Southern Oregon Orthopedics Inc
• Southern Oregon Pediatrics, LLP
• Southern Oregon Periodontics, PC
• Southern Oregon Professional Care Services, Inc.
• Southern Oregon Psychiatry, LLC
• Southern Oregon Sleep Diagnostics
• Southern Oregon Sleep Diagnostics LLC
• Southern Oregon Spine Care, P.C.

• All providers in Medford, OR
• Physical Therapy Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2015; 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.