Umpqua Valley Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

B0093 Issued in OR

Legal business name

UMPQUA VALLEY PHYSICAL THERAPY LLC

Practice address

213 NW Second Ave
Myrtle Creek, OR 97457

Phone

(541) 863-8401

Fax

(541) 863-8403

NPI assigned

Mar 31, 2006

Organization subpart

No

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

Authorized official

Name

Larry Dean Krout

Title

Managing Member

Phone

(503) 740-8847

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lura Lynne Lemert, PT

  • Physical Therapist
  • Myrtle Creek, OR
  • NPI 1447579792
  NPD (past)

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216944000000",
    "number": "1790746402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3287",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083287",
            "telephone_number": "503-489-1781",
            "fax_number": "503-489-1650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 NW SECOND AVE",
            "city": "MYRTLE CREEK",
            "state": "OR",
            "postal_code": "97457",
            "telephone_number": "541-863-8401",
            "fax_number": "541-863-8403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UMPQUA VALLEY PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-31",
        "last_updated": "2008-07-25",
        "status": "A",
        "authorized_official_last_name": "KROUT",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "503-740-8847"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "OR",
            "license": "B0093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Therapeutic Associates Inc
• Trang Tran
• Tricity Chiropractic
• Umpqua Community Health Center, Inc.
• Umpqua Community Health Center, Inc.
• Reva Jeanne Whitson, LMT
• Julia Guest Zeal, APRN

• Physical Therapy Clinic/Center in Myrtle Creek, OR
• Providers in Myrtle Creek, OR by specialty
• Physical Therapy Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2008; 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.