Active NPI
Soar Concierge Physical Therapy
- Physical Therapy Clinic/Center
- Salem, OR
National Provider Identifier
1891432860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.