Active NPI
Rhett Fieldsted
- Physical Therapist
- Grants Pass, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 60579
- Practice address
- 702 SW Ramsey Ave
Ste. 220
Grants Pass, OR 97527-5858 - Phone
- (541) 479-0765
- Fax
- (541) 736-8860
- NPI assigned
- May 21, 2014
- Last updated
- Feb 9, 2015
- 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 | 60579 | OR | Primary |
Addresses
Primary practice location
702 SW Ramsey Ave
Ste. 220
Grants Pass, OR 97527-5858
Mailing address
16083 SW Upper Boones Ferry Rd
Suite 300
Tigard, OR 97224-7736
Phone (800) 219-8835
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0327609 | Other | OR | WA L&I |
| 500672686 | Medicaid | OR | |
| P01396207 | Other | OR | RR MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1251 E McAndrews Rd
Suite 108
Medford, OR 97504-6497
Phone (541) 773-1124
702 SW Ramsey Ave
Suite 220
Grants Pass, OR 97527-5859
Phone (541) 479-0765
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapeutic Associates Inc | Physical Therapist | Current | Accepting new patients |
| Therapeutic Associates Inc | Physical Therapist | Current | Accepting new patients |
| Therapeutic Associates Inc | Physical Therapist | Current | Accepting new patients |
| Therapeutic Associates Inc | Physical Therapist | Past | Accepting new patients |
| Therapeutic Associates Inc | Physical Therapist | Past | Accepting new patients |
Locations
16315 SW Barrows Rd
Ste 205
Beaverton, OR 97007
Phone (503) 521-0500
996 NW Circle Blvd
Ste 101
Corvallis, OR 97330
Phone (541) 757-0878
2911 Tennyson Ave
Ste 204
Eugene, OR 97408
Phone (541) 515-6194
702 SW Ramsey Ave
Ste 220
Grants Pass, OR 97527
Phone (541) 479-0765
5955 Shoreview Ln N
Ste 100
Keizer, OR 97303
Phone (503) 463-4221
10215 SW Parkway
Ste D
Portland, OR 97225
Phone (503) 292-3583
1307 NE 102nd Ave
Ste G
Portland, OR 97220
Phone (503) 253-0924
8028 NE Glisan St
Ste B
Portland, OR 97213
Phone (503) 253-0924
2040 NW Newcastle St
Roseburg, OR 97471
Phone (541) 673-1808
58147 Columbia River Hwy
Ste A
Saint Helens, OR 97051
Phone (503) 397-1914
20055 SW Pacific Hwy
Ste 110
Sherwood, OR 97140
Phone (503) 625-1691
16083 SW Upper Boones Ferry Rd
Ste 300
Tigard, OR 97224
Phone (503) 443-6153
29100 SW Town Center Loop W
Ste 190
Wilsonville, OR 97070
Phone (503) 570-7600
Interoperability endpoints
- rhett.fieldsted.1@31414.direct.athenahealth.com
Organizations & group practices 5
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 TAI Mt. Ashland Physical Therapy
- Physical Therapist
- Ashland, OR
- NPI 1972589364
-
dba TAI - North Portland Physical Therapy & Sports Lab
- Physical Therapist
- Portland, OR
- NPI 1275519662
-
dba TAI Cedar Hills Physical Therapy
- Physical Therapist
- Portland, OR
- NPI 1700862000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423440000000",
"number": "1821400169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16083 SW UPPER BOONES FERRY RD",
"address_2": "SUITE 300",
"city": "TIGARD",
"state": "OR",
"postal_code": "972247736",
"telephone_number": "800-219-8835",
"fax_number": "503-639-9699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "702 SW RAMSEY AVE",
"address_2": "STE. 220",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "975275858",
"telephone_number": "541-479-0765",
"fax_number": "541-736-8860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIELDSTED",
"first_name": "RHETT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-21",
"last_updated": "2015-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "60579",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA L&I",
"identifier": "0327609",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500672686",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PTAN",
"identifier": "P01396207",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grants Pass, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.