Individual provider Active NPI

Garth Alan West, DPT

  • Physical Therapist
  • Albany, OR
National Provider Identifier
1912572157
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
64097 Issued in OR
Practice address
3615 Spicer Dr SE
Albany, OR 97322-7043
Phone
(541) 967-7551
NPI assigned
May 20, 2021
Last updated
May 20, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 64097 OR Primary

Addresses

Primary practice location

3615 Spicer Dr SE
Albany, OR 97322-7043

Mailing address

700 NW 5TH St Apt 22
Corvallis, OR 97330-6474
Phone (406) 407-4808

Other identifiers 1

IdentifierTypeStateIssuer
64097OtherOROREGON BOARD OF PHYSICAL THERAPY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address garthpt@mightyoakschildrenstherapy.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
64097ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mighty Oaks Children's Therapy Center PastSince May 25, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1621468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1912572157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 NW 5TH ST APT 22",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973306474",
            "telephone_number": "406-407-4808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 SPICER DR SE",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973227043",
            "telephone_number": "541-967-7551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "GARTH",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-20",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "64097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON BOARD OF PHYSICAL THERAPY",
            "identifier": "64097",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "garthpt@mightyoakschildrenstherapy.com",
            "affiliation": "N",
            "endpointDescription": "encrypted email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "3615 Spicer Dr SE",
            "city": "Albany",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973227043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Albany, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.