Gary James Anglin, DPT CMP

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4435 Issued in OR

Practice address

601 N 1St St
Stayton, OR 97383-1704

Phone

(503) 769-3123

Fax

(503) 769-3176

NPI assigned

Mar 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Promotion Advanced Functional Rehab LLCGroup PAC ID 1759391394, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Promotion Advanced Functional Rehab LLC

  • Orthopedic Physical Therapist
  • Stayton, OR
  • NPI 1710932710

  OR

  Medicare reassignment Care Compare group NPD
• Promotion Advanced Functional Rehab, LLC

  • Physical Therapist
  • Silverton, OR
  • NPI 1689051658
  NPD

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1689633547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 N 1ST ST",
            "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": "601 N 1ST ST",
            "city": "STAYTON",
            "state": "OR",
            "postal_code": "973831704",
            "telephone_number": "503-769-3123",
            "fax_number": "503-769-3176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "602A Front St",
            "address_purpose": "LOCATION",
            "city": "Silverton",
            "state": "OR",
            "postal_code": "973811428",
            "country_code": "US",
            "telephone_number": "503-874-4416",
            "fax_number": "503-874-4327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANGLIN",
        "first_name": "GARY",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DPT CMP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-20",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "4435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182879",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylor Anne Abdala, PA
• Tammy Lynette Abell, RN
• Hammaad Alvi, M.D.
• Elizabeth A Anderson, PTA
• Carmen L Anglin, DPT, CMP
• Elizabeth Apollo-Loomis, APNP
• Mikael Aragon, MSN, FNP-C
• Patrick Richard Arden, D.C.
• Aaron Baird, DDS
• Bethany J Banke, DPT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.