Therapeutic Associates Inc
Organization Active NPI Physical Therapist · Springfield, OR
NPI 1851377618 · NPPES record last updated Oct 29, 2012
Key facts
- NPI
- 1851377618
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- THERAPEUTIC ASSOCIATES INC
- Practice address
- 2728 Pheasant Blvd
Ste 100
Springfield, OR 97477-7509 - Phone
- (541) 736-8870
- Fax
- (541) 736-8860
- NPI assigned
- Dec 22, 2005
- Organization subpart
- No
Authorized official
- Name
- Mr. Todd Robert Gifford, PT
- Title
- Information Systems Director
- Phone
- (503) 443-6156
Corporate family (same tax ID) 24
Practitioners 10
-
Kylee Dee Alexander, DPT
-
Valerie J Hilton, PT
-
Bradley Vernon Schwin, PHYSICAL THERAPIST
-
Deborah L Bates, P.T.
-
Emily Anne Baughman, PHYSICAL THERAPIST
-
Alexander Harry McCulley, D.P.T.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040205000432 | OR | Part B Supplier - Clinic/Group Practice | 0042116279 |
Receives reassigned benefits from 305 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
- Tax ID family
- Sally J Miller PT
Locations
2728 Pheasant Blvd
Ste 100
Springfield, OR 97477
Phone (541) 654-5400
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | OR | Yes | |
| Occupational Therapist |
225X00000X |
Addresses
Primary practice location
2728 Pheasant Blvd
Ste 100
Springfield, OR 97477-7509
Mailing address
16083 SW Upper Boones Ferry Rd
Ste 300
Tigard, OR 97224-7736
Phone (800) 219-8835
Other names
- TAI Gateway Physical Therapy
Other providers in Springfield, OR
- The Child Center
- The Child Center
- The Child Center
- The Child Center
- The Salvation Army
- Thomas R. Huhn DDS, PC
- Bethany Thomas
- Debra Louise Thomas
- Dusty Marie Thomas
- Cassandra Thomason
All providers in Springfield, OR · Physical Therapist in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.