NPIMap

Organization Active NPI

Promotion Advanced Functional Rehab, LLC

Doing business as ProMotion AFR LLC

  • Physical Therapist
  • Silverton, OR
National Provider Identifier
1689051658
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PROMOTION ADVANCED FUNCTIONAL REHAB, LLC
Doing business as
ProMotion AFR LLC
ProMotion Physical Therapy of Silverton
Practice address
602A Front St
Silverton, OR 97381-2417
Phone
(503) 874-4416
Fax
(503) 874-4327
NPI assigned
Apr 29, 2015
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
PROMOTION ADVANCED FUNTIONAL REHAB, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Carmen Larayne Anglin, DPTNPI 1316925712
Title
Owner/Manager
Phone
(503) 874-4416

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

602A Front St
Silverton, OR 97381-2417

Mailing address

601 N 1St Ave
Stayton, OR 97383-1704
Phone (503) 769-3123

Other names 2

  • ProMotion AFR LLC Doing business as
  • ProMotion Physical Therapy of Silverton Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Promotion Advanced Function2 organizations share this tax ID, including this one
Part of
Promotion Advanced Function

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

602A Front St
Silverton, OR 97381
Phone (503) 874-4416

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1430265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1689051658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 N 1ST AVE",
            "city": "STAYTON",
            "state": "OR",
            "postal_code": "973831704",
            "telephone_number": "503-769-3123",
            "fax_number": "503-769-3176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602A FRONT ST",
            "city": "SILVERTON",
            "state": "OR",
            "postal_code": "973812417",
            "telephone_number": "503-874-4416",
            "fax_number": "503-874-4327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMOTION ADVANCED FUNCTIONAL REHAB, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROMOTION ADVANCED FUNTIONAL REHAB, LLC",
        "enumeration_date": "2015-04-29",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ANGLIN",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "LARAYNE",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "503-874-4416",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProMotion AFR LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ProMotion Physical Therapy of Silverton",
            "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 Jul 21, 2022; 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.