NPIMap

Organization Active NPI

Southwest Physical Therapy LLC

Doing business as John Breuer Rehab Services

  • Rehabilitation Clinic/Center
  • Coos Bay, OR
National Provider Identifier
1851407464
Registry record updated Sep 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
SOUTHWEST PHYSICAL THERAPY LLC
Doing business as
John Breuer Rehab Services
Practice address
1650 Thompson Rd
Coos Bay, OR 97420-2170
Phone
(541) 269-7212
Fax
(541) 267-5260
NPI assigned
Aug 23, 2006
Last updated
Sep 24, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2007

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

Authorized official

Name
Mr. John Breuer, PTNPI 1295841815
Title
Director
Phone
(541) 269-7212

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

1650 Thompson Rd
Coos Bay, OR 97420-2170

Mailing address

1650 Thompson Rd
Coos Bay, OR 97420-2170
Phone (541) 269-7212

Other names 1

  • John Breuer Rehab Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050810001218 OR Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 9133111362 Practice locations: Bandon, OR; Coos Bay, OR; Coquille, OR; Gold Beach, OR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1851407464. Details of each certification follow.

  • CCN 386514 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 386514

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
JOHN BREUER REHABILITATION SERVICES
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Oct 11, 1994
Last certification
Dec 17, 2015
Ownership / control type
Proprietary
Facility address
1650 Thompson Road
Coos Bay, OR 97420

National Provider Directory

National Provider Directory
Tax ID family
John Breuer Rehab Services6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

913 11th St SE
Ste 2
Bandon, OR 97411
Phone (541) 347-4314

279 N Central Blvd
Coquille, OR 97423
Phone (541) 396-3341

2285 Highway 101
Ste F
Florence, OR 97439
Phone (541) 902-0231

29692 Ellensburg Ave
Gold Beach, OR 97444
Phone (541) 247-2030

Practitioners & affiliated clinicians

Practitioners 24

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.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190592000000",
    "number": "1851407464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 THOMPSON RD",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974202170",
            "telephone_number": "541-269-7212",
            "fax_number": "541-267-5260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 THOMPSON RD",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974202170",
            "telephone_number": "541-269-7212",
            "fax_number": "541-267-5260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2007-09-24",
        "status": "A",
        "authorized_official_last_name": "BREUER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "541-269-7212",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "John Breuer Rehab Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coos Bay, OR

Sources for this page

Verify at the official NPI Registry.