Willamette Orthopedic Group LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

WILLAMETTE ORTHOPEDIC GROUP LLC

Practice address

5825 Shoreview LN N
Keizer, OR 97303-3978

Phone

(503) 540-6300

NPI assigned

Nov 3, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Jeff Knight, MD

Title

President-Elect/Board of Directors

Phone

(503) 540-6300

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Hope Orthopedics of Oregon Doing business as

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

{
    "created_epoch": "1257206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382313600000",
    "number": "1811224496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 STATE ST",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973014257",
            "telephone_number": "503-540-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5825 SHOREVIEW LN N",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973033978",
            "telephone_number": "503-540-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLAMETTE ORTHOPEDIC GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-03",
        "last_updated": "2013-10-21",
        "status": "A",
        "authorized_official_last_name": "KNIGHT",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "PRESIDENT-ELECT/BOARD OF DIRECTORS",
        "authorized_official_telephone_number": "503-540-6300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278220",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hope Orthopedics of Oregon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tyler Jeffrey Whited, DPT
• David Joseph Wichman, LMT
• Jason Lee Wilburn Sr., CADC 1, CRM
• Beth Ann Will, D.C.
• Willamette Foot Center Inc
• Robert Charles Winchell, M.D.
• Gregory Lee Wingett
• Christian Eric Wissinger, DC
• Billy Ray Wolf
• Kathrine Torrie Wolfe, RPH

• Physical Therapist in Keizer, OR
• Providers in Keizer, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2013; 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.