Organization Active NPI

Soar Concierge Physical Therapy

  • Physical Therapy Clinic/Center
  • Salem, OR
National Provider Identifier
1891432860
Registry record updated Jun 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
SOAR CONCIERGE PHYSICAL THERAPY
Practice address
3589 Fairview Industrial Dr SE Ste 100
Salem, OR 97302-1155
Phone
(503) 341-0382
NPI assigned
May 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2022

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

Authorized official

Name
Dr. Sean Douglas Degn, DPT
Title
Physical Therapist
Phone
(503) 341-0382

Specialties & licenses 1

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

Addresses

Primary practice location

3589 Fairview Industrial Dr SE Ste 100
Salem, OR 97302-1155

Mailing address

3589 Fairview Industrial Dr SE Ste 100
Salem, OR 97302-1155

National Provider Directory

National Provider Directory

Locations

3589 Fairview Industrial Dr SE
Ste 100
Salem, OR 97302
Phone (503) 341-0382

NPI Registry JSON

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

{
    "created_epoch": "1652918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655769600000",
    "number": "1891432860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3589 FAIRVIEW INDUSTRIAL DR SE STE 100",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973021155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3589 FAIRVIEW INDUSTRIAL DR SE STE 100",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973021155",
            "telephone_number": "503-341-0382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOAR CONCIERGE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-19",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A",
        "authorized_official_last_name": "DEGN",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "503-341-0382",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; 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.