NPIMap

Organization Active NPI

Oregon Mobile Physical Therapy

  • Physical Therapist
  • Glide, OR
National Provider Identifier
1811623614
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
OREGON MOBILE PHYSICAL THERAPY
Practice address
23451 N Umpqua Hwy
Glide, OR 97443-0277
Phone
(815) 978-6512
NPI assigned
Jul 26, 2022
Last updated
Sep 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Authorized official

Name
Dr. Garrett Corrigan Stroup, DPTNPI 1124753298
Title
Founder
Phone
(815) 978-6512

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

23451 N Umpqua Hwy
Glide, OR 97443-0277

Mailing address

23451 N Umpqua Hwy
Glide, OR 97443-0277
Phone (815) 978-6512

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1658793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662508800000",
    "number": "1811623614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23451 N UMPQUA HWY",
            "city": "GLIDE",
            "state": "OR",
            "postal_code": "974430277",
            "telephone_number": "815-978-6512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23451 N UMPQUA HWY",
            "city": "GLIDE",
            "state": "OR",
            "postal_code": "974430277",
            "telephone_number": "815-978-6512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OREGON MOBILE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-26",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A",
        "authorized_official_last_name": "STROUP",
        "authorized_official_first_name": "GARRETT",
        "authorized_official_middle_name": "CORRIGAN",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "815-978-6512",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glide, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.