NPIMap

Organization Active NPI

George Fox University Physical Therapy Community Clinic

  • Physical Therapist
  • Newberg, OR
National Provider Identifier
1760841308
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2213 Issued in OR
Legal business name
GEORGE FOX UNIVERSITY PHYSICAL THERAPY COMMUNITY CLINIC
Practice address
448 N Werth Blvd
Newberg, OR 97132-7500
Phone
(503) 554-2479
Fax
(503) 554-3918
NPI assigned
Feb 10, 2016
Last updated
Aug 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Authorized official

Name
Jaydee R Romick, DPTNPI 1750870309
Title
Director of Clinic
Phone
(503) 901-3865

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 2213 OR Primary

Addresses

Primary practice location

448 N Werth Blvd
Newberg, OR 97132-7500

Mailing address

448 N Werth Blvd
Newberg, OR 97132-7500
Phone (503) 554-2479

National Provider Directory

National Provider Directory
Tax ID family
George Fox University3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

414 N Meridian St
#V123
Newberg, OR 97132
Phone (503) 554-2460

448 N Werth Blvd
Newberg, OR 97132
Phone (503) 538-8383

Practitioners & affiliated clinicians

Practitioners 15

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 15

NPI Registry JSON

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

{
    "created_epoch": "1455062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660176000000",
    "number": "1760841308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "448 N WERTH BLVD",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971327500",
            "telephone_number": "503-554-2479",
            "fax_number": "503-554-3918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "448 N WERTH BLVD",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971327500",
            "telephone_number": "503-554-2479",
            "fax_number": "503-554-3918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE FOX UNIVERSITY PHYSICAL THERAPY COMMUNITY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-10",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A",
        "authorized_official_last_name": "ROMICK",
        "authorized_official_first_name": "JAYDEE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIRECTOR OF CLINIC",
        "authorized_official_telephone_number": "503-901-3865",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "2213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newberg, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.