NPIMap

Organization Active NPI

High Desert Therapy Associates Inc

  • Physical Therapy Clinic/Center
  • Sunriver, OR
National Provider Identifier
1871569764
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
HIGH DESERT THERAPY ASSOCIATES INC
Practice address
56881 Enterprise Dr
Sunriver, OR 97707
Phone
(541) 593-8535
Fax
(541) 593-0316
NPI assigned
Feb 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2008

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

Authorized official

Name
James Philip SmithNPI 1093935322
Title
Treasurer Business Manager
Phone
(541) 593-8535

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
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

56881 Enterprise Dr
Sunriver, OR 97707

Mailing address

PO Box 4185
Sunriver, OR 97707
Phone (541) 593-8535

Other names 1

  • La Pine Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

56789 Lunar Dr
Sunriver, OR 97707
Phone (503) 593-8535

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8698/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209340800000",
    "number": "1871569764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4185",
            "city": "SUNRIVER",
            "state": "OR",
            "postal_code": "97707",
            "telephone_number": "541-593-8535",
            "fax_number": "541-593-0316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56881 ENTERPRISE DR",
            "city": "SUNRIVER",
            "state": "OR",
            "postal_code": "97707",
            "telephone_number": "541-593-8535",
            "fax_number": "541-593-0316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH DESERT THERAPY ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-28",
        "last_updated": "2008-04-28",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "PHILIP",
        "authorized_official_title_or_position": "TREASURER BUSINESS MANAGER",
        "authorized_official_telephone_number": "541-593-8535"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "La Pine Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sunriver, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; 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.