Individual provider Active NPI

Rosa Garnatz, PT, DPT

  • Physical Therapist
  • Springfield, OR
National Provider Identifier
1831666957
Registry record updated May 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
62891 Issued in OR
Practice address
PO Box 1641
Springfield, OR 97477-0179
Phone
(541) 246-9867
Fax
(541) 237-1204
NPI assigned
Oct 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X T62891 OR
Physical Therapist 225100000X 62891 OR Primary

Addresses

Primary practice location

PO Box 1641
Springfield, OR 97477-0179

Mailing address

PO Box 1641
Springfield, OR 97477-0179
Phone (541) 246-9867

Other practice location 1

123 International Way
Springfield, OR 97477-1047
Phone (458) 205-7300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190326002346 OR Practitioner - Physical Therapist in Private Practice 7113267311 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
62891ORMDPhysical Therapist
T62891ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ziebart Inc Physical Therapist CurrentSince Oct 31, 2018 Accepting new patients
Garnatz Goodin LLC Physical Therapist CurrentSince Sep 9, 2022 Accepting new patients

Locations

2448 W Harvard Ave
Roseburg, OR 97471
Phone (541) 510-0801

760 A St
Unit 1641
Springfield, OR 97477

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1540512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714867200000",
    "number": "1831666957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1641",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974770179",
            "telephone_number": "541-246-9867",
            "fax_number": "541-237-1204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 1641",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974770179",
            "telephone_number": "541-246-9867",
            "fax_number": "541-237-1204"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 International Way",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OR",
            "postal_code": "974771047",
            "country_code": "US",
            "telephone_number": "458-205-7300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARNATZ",
        "first_name": "ROSA",
        "name_prefix": "Mrs.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-26",
        "last_updated": "2024-05-05",
        "certification_date": "2024-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "T62891",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "62891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2024; 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.