NPIMap

Organization Active NPI

Donato and Wood Consulting Inc

Doing business as Riverside Physical Therapy

  • Physical Therapist
  • Canyonville, OR
National Provider Identifier
1922558394
Registry record updated Oct 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
DONATO AND WOOD CONSULTING INC
Doing business as
Riverside Physical Therapy
Practice address
415 S Main St
Canyonville, OR 97417-9646
Phone
(541) 839-4998
Fax
(541) 839-4999
NPI assigned
Oct 10, 2016
Last updated
Oct 10, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2016

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

Authorized official

Name
Jeffery C WoodNPI 1376527424
Title
President
Phone
(541) 476-2502

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

415 S Main St
Canyonville, OR 97417-9646

Mailing address

544 Union Ave
Grants Pass, OR 97527-5544
Phone (541) 476-2502

Other identifiers 1

IdentifierTypeStateIssuer
229162MedicaidOR

Other names 1

  • Riverside Physical Therapy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Donato and Wood Consulting Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1476057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476057600000",
    "number": "1922558394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "544 UNION AVE",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975275544",
            "telephone_number": "541-476-2502",
            "fax_number": "541-955-5233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 S MAIN ST",
            "city": "CANYONVILLE",
            "state": "OR",
            "postal_code": "974179646",
            "telephone_number": "541-839-4998",
            "fax_number": "541-839-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONATO AND WOOD CONSULTING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-10",
        "last_updated": "2016-10-10",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-476-2502"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "229162",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverside Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canyonville, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2016; 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.