Active NPI
Todd M Pylkas, PT
- Physical Therapist
- Grants Pass, OR
National Provider Identifier
1760147052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4938
- Practice address
- 333 SW 5TH St Ste B
Grants Pass, OR 97526-2509 - Phone
- (541) 507-9894
- NPI assigned
- Nov 2, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4938 | OR | Primary |
Addresses
Primary practice location
333 SW 5TH St Ste B
Grants Pass, OR 97526-2509
Mailing address
333 SW 5TH St Ste B
Grants Pass, OR 97526-2509
Phone (541) 507-9894
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4938 | OR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ryan Baker, D.C. P.C. | Current | Accepting new patients | |
| Axis Health, Inc. | Physical Therapist | Current | Accepting new patients |
Locations
333 SW 5th St
Ste B
Grants Pass, OR 97526
Phone (541) 471-0397
Organizations & group practices 2
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.
-
- Chiropractor
- Grants Pass, OR
- NPI 1336203835
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635811200000",
"number": "1760147052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 SW 5TH ST STE B",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "975262509",
"telephone_number": "541-507-9894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 SW 5TH ST STE B",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "975262509",
"telephone_number": "541-507-9894"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PYLKAS",
"first_name": "TODD",
"middle_name": "M",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-11-02",
"last_updated": "2021-11-02",
"certification_date": "2021-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "4938",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Nov 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.