Center of Orthopedic Rehabilitation & Exercise, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

4611 Issued in OR

Legal business name

CENTER OF ORTHOPEDIC REHABILITATION & EXERCISE, LLC

Doing business as

CORE Physical Therapy & Training

Practice address

771 W Stewart Ave Ste 103
Medford, OR 97501-4001

Phone

(541) 500-8029

Fax

(541) 622-8337

NPI assigned

Jun 1, 2015

Last updated

Jun 1, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christopher Eugene Foster, MPTNPI 1366424210

Title

Member

Phone

(541) 324-4807

Specialties & licenses 1

Addresses

Other names 1

• CORE Physical Therapy & Training Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 3

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.

• Christopher Eugene Foster, PT

  • Physical Therapist
  • Medford, OR
  • NPI 1366424210
  Medicare reassignment Care Compare group Authorized official
• Dennis Wade Schepmann, PT

  • Physical Therapist
  • Phoenix, OR
  • NPI 1568513901
  Medicare reassignment Care Compare group NPD
• Jason E Strock

  • Physical Therapist
  • Medford, OR
  • NPI 1992705537
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1433116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433116800000",
    "number": "1831579226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "771 W STEWART AVE STE 103",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975014001",
            "telephone_number": "541-500-8029",
            "fax_number": "541-622-8337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "771 W STEWART AVE STE 103",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975014001",
            "telephone_number": "541-500-8029",
            "fax_number": "541-622-8337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER OF ORTHOPEDIC REHABILITATION & EXERCISE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-01",
        "last_updated": "2015-06-01",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "541-324-4807",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "OR",
            "license": "4611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CORE Physical Therapy & Training",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Scarlet Celestino, MS, QMHP
• Christina Hansel Cellura, D.O.
• Fernando Cendejas, MD
• Joel Andres Centeno, DPT
• Center for Regenerative Orthopedic Medicine, PC
• Central Drug Store Inc (Black Oak Pharmacy)
• Central Drug Store Inc. (Black Oak Pharmacy LTC)
• Central Drug Store Inc. (Black Oak Home Medical)
• Amy Renee Cervan, PHARM.D.
• Winslow Cervantes, CRM

• Physical Therapy Clinic/Center in Medford, OR
• Providers in Medford, 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 Jun 1, 2015; 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.

Verify at the official NPI Registry.