Oregon Sportscare LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

OREGON SPORTSCARE LLC

Practice address

5520 NW Highway 99
Corvallis, OR 97330-9484

Phone

(541) 207-3626

NPI assigned

Jan 8, 2019

Last updated

Jan 8, 2019By 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

Kyle Larkin

Title

Owner

Phone

(503) 528-6864

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1546905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546905600000",
    "number": "1851864292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 NW SHOOTING STAR DR",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303465",
            "telephone_number": "503-528-6864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5520 NW HIGHWAY 99",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973309484",
            "telephone_number": "541-207-3626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OREGON SPORTSCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-08",
        "last_updated": "2019-01-08",
        "status": "A",
        "authorized_official_last_name": "LARKIN",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-528-6864"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Optometric Care of Oregon (All Family Vision Care)
• Optum Behavioral Care of Colorado, P.C. (Eugene Therapy of Oregon)
• Oral Surgery Associates, PC
• Oregon CVS Pharmacy LLC (CVS Pharmacy #11659)
• Oregon Physical Therapy at Timberhill LLC
• Oregon State University
• Oregon State University Student Health Services
• Oregon Wellness Solutions LLC
• Deana Anela Ornong
• Caitlin Orr

• Physical Therapy Clinic/Center in Corvallis, OR
• Providers in Corvallis, 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 Jan 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.