Therapeutic Associates Inc
Organization Active NPI Physical Therapist · Sherwood, OR
NPI 1750367108 · NPPES record last updated Oct 29, 2012
Key facts
- NPI
- 1750367108
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- THERAPEUTIC ASSOCIATES INC
- Practice address
- 20055 SW Pacific Hwy
Ste 110
Sherwood, OR 97140-9294 - Phone
- (503) 625-1691
- Fax
- (503) 925-1460
- NPI assigned
- Dec 19, 2005
- Organization subpart
- No
Authorized official
- Name
- Mr. Todd Robert Gifford, PT
- Title
- Information Systems Director
- Phone
- (503) 443-6156
Corporate family (same tax ID) 24
Practitioners 6
-
Molly Jo Cruz, PT
-
Mollyann Hunt, BS, DPT
-
Emily Kay Wood, P.T.
-
Justin Ebmeyer, PT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040205000432 | OR | Part B Supplier - Clinic/Group Practice | 0042116279 |
Receives reassigned benefits from 305 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
- Tax ID family
- Sally J Miller PT
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | OR | Yes | |
| Occupational Therapist |
225X00000X |
Addresses
Primary practice location
20055 SW Pacific Hwy
Ste 110
Sherwood, OR 97140-9294
Mailing address
16083 SW Upper Boones Ferry Rd
Ste 300
Tigard, OR 97224-7736
Phone (800) 219-8835
Other names
- TAI Sherwood Physical Therapy
Other providers in Sherwood, OR
- Taylored Natural Medicine
- TD Sherwood GPS LLC
- The Abclinic, LLC
- The Clinical Voice RN LLC
- The Young Men'S Christian Association of Columbia-Willamette
- Breanna Summers Thompson
- Carolyn 'Caz' Mary Thomson
- Ashley Tiegen-Tracy
- Timber Dental Sherwood LLC
- Tina Kang-Lim, Psy.D., LLC
All providers in Sherwood, OR · Physical Therapist in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.