Active NPI
Nicole Katharine Biltz, DPT
- Physical Therapist
- Salem, OR
National Provider Identifier
1851890701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 63016
- Practice address
- 3270 Liberty Rd. S.
Salem, OR 97302 - Phone
- (503) 371-0779
- Fax
- (503) 371-0886
- NPI assigned
- Feb 6, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | J1-0003747 | DE | |
| Physical Therapist | 225100000X | 63016 | OR | Primary |
Addresses
Primary practice location
3270 Liberty Rd. S.
Salem, OR 97302
Mailing address
3270 Liberty Rd. S.
Salem, OR 97302
Phone (503) 371-0779
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J1-0003747 | DE | MD | Physical Therapist |
| 63016 | OR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oregon Healthcare Resources, LLC | Current | Accepting new patients |
Locations
4135 Quest Dr
Eugene, OR 97402
Phone (541) 461-8006
2000 N 19th St
Springfield, OR 97477
Phone (541) 284-1694
Organizations & group practices 1
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.
-
- Multi-Specialty Clinic/Center
- Eugene, OR
- NPI 1982907572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540944000000",
"number": "1851890701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3270 LIBERTY RD. S.",
"city": "SALEM",
"state": "OR",
"postal_code": "97302",
"telephone_number": "503-371-0779",
"fax_number": "503-371-0886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3270 LIBERTY RD. S.",
"city": "SALEM",
"state": "OR",
"postal_code": "97302",
"telephone_number": "503-371-0779",
"fax_number": "503-371-0886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BILTZ",
"first_name": "NICOLE",
"middle_name": "KATHARINE",
"name_prefix": "Ms.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-06",
"last_updated": "2018-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DE",
"license": "J1-0003747",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "63016",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.