Organization Active NPI

Oregon Virtual PT LLC

Doing business as Oregon Virtual PT

  • Physical Therapy Clinic/Center
  • Newberg, OR
National Provider Identifier
1881283695
Registry record updated Jan 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
OREGON VIRTUAL PT LLC
Doing business as
Oregon Virtual PT
Practice address
733 S Garfield St
Newberg, OR 97132-2560
Phone
(541) 389-0870
NPI assigned
Jan 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2021

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

Authorized official

Name
Dr. Patrick McMahon, PT, DPT
Title
Physical Therapist
Phone
(805) 827-9566

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

733 S Garfield St
Newberg, OR 97132-2560

Mailing address

733 S Garfield St
Newberg, OR 97132-2560

Other names 1

  • Oregon Virtual PT Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1610668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610668800000",
    "number": "1881283695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 S GARFIELD ST",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971322560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 S GARFIELD ST",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971322560",
            "telephone_number": "541-389-0870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OREGON VIRTUAL PT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-15",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A",
        "authorized_official_last_name": "MCMAHON",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "805-827-9566",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oregon Virtual PT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newberg, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; 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.