NPIMap

Organization Active NPI

Total Performance Sports Medicine, PC

  • Chiropractor
  • Grants Pass, OR
National Provider Identifier
1750614749
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
TOTAL PERFORMANCE SPORTS MEDICINE, PC
Practice address
1328 NW 6TH St
Grants Pass, OR 97526-1255
Phone
(541) 476-4010
NPI assigned
Sep 9, 2009
Last updated
Jan 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Authorized official

Name
Melissa Morgan
Title
Office Manager
Phone
(541) 476-4010

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary
Physical Therapist 225100000X NU

Addresses

Primary practice location

1328 NW 6TH St
Grants Pass, OR 97526-1255

Mailing address

PO Box 774
Grants Pass, OR 97528-0066

Other practice location 1

3522 Heathrow Way Ste 100
Medford, OR 97504-4004
Phone (541) 200-3005

Other practice location 2

202 Lister St
Cave Junction, OR 97523-9047
Phone (541) 592-6220

Other names 1

  • Thorsen Chiropractic, PC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090916000772 OR Part B Supplier - Clinic/Group Practice 4789730730 Receives reassigned benefits from 10 practitioners
Practice locations: Cave Junction, OR; Grants Pass, OR; Medford, OR

National Provider Directory

National Provider Directory

Locations

1328 NW 6th St
Grants Pass, OR 97526
Phone (541) 476-4010

3522 Heathrow Way
Ste 100
Medford, OR 97504
Phone (541) 200-3005

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1252454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736121600000",
    "number": "1750614749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 774",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975280066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1328 NW 6TH ST",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261255",
            "telephone_number": "541-476-4010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3522 Heathrow Way Ste 100",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "OR",
            "postal_code": "975044004",
            "country_code": "US",
            "telephone_number": "541-200-3005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "202 Lister St",
            "address_purpose": "LOCATION",
            "city": "Cave Junction",
            "state": "OR",
            "postal_code": "975239047",
            "country_code": "US",
            "telephone_number": "541-592-6220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TOTAL PERFORMANCE SPORTS MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-09",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "541-476-4010"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thorsen Chiropractic, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Grants Pass, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.