Therapeutic Associates Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

THERAPEUTIC ASSOCIATES INC

Doing business as

TAI - Creswell Physical Therapy

Practice address

182 Melton Rd
Creswell, OR 97426

Phone

(541) 895-5913

Fax

(541) 895-5941

NPI assigned

Aug 7, 2008

Last updated

May 22, 2023By 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

Todd GiffordNPI 1770933061

Title

Information Systems Diretcor

Phone

(800) 219-8835

Specialties & licenses 2

Addresses

Other names 1

• TAI - Creswell Physical Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Practitioners 2

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.

• Todd Gifford, COO

  • Physical Therapist
  • Tigard, OR
  • NPI 1770933061
  Authorized official Same address or phone
• Emily Anne Baughman, PHYSICAL THERAPIST

  • Physical Therapist
  • Springfield, OR
  • NPI 1619944493
  NPD

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

{
    "created_epoch": "1218067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684713600000",
    "number": "1871749002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11481 SW HALL BLVD",
            "address_2": "SUITE 201",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972238403",
            "telephone_number": "800-219-8835",
            "fax_number": "503-639-9699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 MELTON RD",
            "city": "CRESWELL",
            "state": "OR",
            "postal_code": "97426",
            "telephone_number": "541-895-5913",
            "fax_number": "541-895-5941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-07",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A",
        "authorized_official_last_name": "GIFFORD",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "INFORMATION SYSTEMS DIRETCOR",
        "authorized_official_telephone_number": "800-219-8835"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TAI - Creswell Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TAI - Creswell Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elena D Shore, LCSW
• Tyler Aaron Shupe, DPT
• Raema Lynn Smith, PT
• Jennifer Sullivan
• Tamara Blum DC PC (Creswell Chiropractic)
• Therapeutic Associates, Inc (TAI - Creswell Physical Therapy)
• Sydney Trimboli, LPC
• Sarah Trumbore, PHARMD
• Jessica Lyn Uhl, RN
• Magdalena Sophia Van Leeuwen, CF-SLP

• Physical Therapist in Creswell, OR
• Providers in Creswell, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.