Active NPI
Paul Joseph Sawicki, P.T.
- Physical Therapist
- Albany, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4652
- Practice address
- 1046 6TH Ave SW
Albany, OR 97321-1916 - Phone
- (541) 812-4962
- NPI assigned
- May 7, 2007
- 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 | 4652 | OR | Primary |
Addresses
Primary practice location
1046 6TH Ave SW
Albany, OR 97321-1916
Mailing address
845 SW 30TH St
Corvallis, OR 97331-8629
Phone (541) 768-7700
Other practice location 1
845 SW 30th St
Corvallis, OR 97331-8629
Phone (541) 768-7700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4652 | OR | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albany General Hospital | Current | Accepting new patients | |
| Albany General Hospital | Current | Accepting new patients | |
| Albany General Hospital | Current | Accepting new patients | |
| Therapeutic Associates Inc | Physical Therapist | Past | Accepting new patients |
Locations
705 Elm St SW
Ste 200
Albany, OR 97321
Phone (541) 812-4850
1046 6th Ave SW
Albany, OR 97321
Phone (541) 812-4000
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Samaritan Albany General Hospital
- General Acute Care Hospital
- Albany, OR
- NPI 1154372340
-
dba Samaritan InterCommunity Health Clinic - Albany
- Family Medicine Physician
- Albany, OR
- NPI 1306679816
-
dba Samaritan Walk-In Clinic - North Albany
- Family Medicine Physician
- Albany, OR
- NPI 1740546902
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639353600000",
"number": "1821201849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "845 SW 30TH ST",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973318629",
"telephone_number": "541-768-7700",
"fax_number": "541-768-9784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1046 6TH AVE SW",
"city": "ALBANY",
"state": "OR",
"postal_code": "973211916",
"telephone_number": "541-812-4962"
}
],
"practiceLocations": [
{
"address_1": "845 SW 30th St",
"address_purpose": "LOCATION",
"city": "Corvallis",
"state": "OR",
"postal_code": "973318629",
"country_code": "US",
"telephone_number": "541-768-7700",
"fax_number": "541-768-9784",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SAWICKI",
"first_name": "PAUL",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-07",
"last_updated": "2021-12-13",
"certification_date": "2021-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "4652",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albany, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.