Organization Active NPI

Rehabilitation Medicine Physicians of Southern Oregon, P.C.

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Medford, OR
National Provider Identifier
1881639995
Registry record updated Dec 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X
License
N/A Issued in OR
Legal business name
REHABILITATION MEDICINE PHYSICIANS OF SOUTHERN OREGON, P.C.
Practice address
2780 E Barnett Rd
#320
Medford, OR 97504-8674
Phone
(541) 776-5065
Fax
(541) 776-5171
NPI assigned
Jun 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2019

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

Authorized official

Name
Ms. Rachel E Zash
Title
Manager
Phone
(541) 776-5065

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Neuromusculoskeletal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 204C00000X N/A OR Primary

Addresses

Primary practice location

2780 E Barnett Rd
#320
Medford, OR 97504-8674

Mailing address

2780 E Barnett Rd
#320
Medford, OR 97504-8674
Phone (541) 776-5065

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040804000594 OR Part B Supplier - Clinic/Group Practice 3870564784 Receives reassigned benefits from 3 practitioners
Practice locations: Medford, OR

National Provider Directory

National Provider Directory

Locations

1648 E McAndrews
Medford, OR 97504
Phone (541) 776-5065

2780 E Barnett Rd
Ste 320
Medford, OR 97504
Phone (541) 776-5065

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": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577750400000",
    "number": "1881639995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2780 E BARNETT RD",
            "address_2": "#320",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048674",
            "telephone_number": "541-776-5065",
            "fax_number": "541-776-5171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2780 E BARNETT RD",
            "address_2": "#320",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048674",
            "telephone_number": "541-776-5065",
            "fax_number": "541-776-5171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABILITATION MEDICINE PHYSICIANS OF SOUTHERN OREGON, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2019-12-31",
        "certification_date": "2019-12-31",
        "status": "A",
        "authorized_official_last_name": "ZASH",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "541-776-5065",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "OR",
            "license": "N/A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2019; 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.