Authentic Healing Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

AUTHENTIC HEALING INC

Practice address

308 N Laurel St
Ashland, OR 97520-1111

Phone

(541) 482-9182

Fax

(541) 482-9181

NPI assigned

Apr 16, 2013

Last updated

Nov 9, 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

Michael A Servant, PTNPI 1770617235

Title

President

Phone

(541) 482-9182

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Michael Servant, MPT

  • Physical Therapist
  • Ashland, OR
  • NPI 1770617235
  Authorized official Same address or phone

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

{
    "created_epoch": "1366070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699488000000",
    "number": "1891138137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 N LAUREL ST",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201111",
            "telephone_number": "541-482-9182",
            "fax_number": "541-482-9181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 N LAUREL ST",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201111",
            "telephone_number": "541-482-9182",
            "fax_number": "541-482-9181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTHENTIC HEALING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-16",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A",
        "authorized_official_last_name": "SERVANT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-482-9182",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashland SNF Healthcare LLC (Ashland Post Acute)
• Ashland Surgery Center
• Ashland's Optical Expressions, PC
• Christine Ashton, RN
• Audiology and Hearing Aid Services Inc (Imaginears)
• Autumn Doshier Counseling LLC
• Juliana Ayres, PMHNP
• Elizabeth Backus
• Ashley Bactista, BA
• Marie Bagley

• Physical Therapy Clinic/Center in Ashland, OR
• Providers in Ashland, OR by specialty
• Physical Therapy Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; 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.