NPIMap

Organization Active NPI

Medford Sports Injury & Therapy Center, Inc.

  • Physical Therapist
  • Medford, OR
National Provider Identifier
1932279916
Registry record updated Oct 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MEDFORD SPORTS INJURY & THERAPY CENTER, INC.
Practice address
2780 E Barnett Rd
Suite 130
Medford, OR 97504-8674
Phone
(541) 779-6146
NPI assigned
Nov 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2007

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

Authorized official

Name
Mr. Steven W Zerkel, P T
Title
Director Owner
Phone
(541) 779-6146

Specialties & licenses 1

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

Addresses

Primary practice location

2780 E Barnett Rd
Suite 130
Medford, OR 97504-8674

Mailing address

2780 E Barnett Rd
Suite 130
Medford, OR 97504-8674
Phone (541) 779-6146

Other identifiers 1

IdentifierTypeStateIssuer
165076MedicaidOR

National Provider Directory

National Provider Directory

Locations

63 S 4th St
Central Point, OR 97502
Phone (541) 664-1225

840 Royal Ave
Ste 2
Medford, OR 97504
Phone (541) 779-6146

2596 E Barnett Rd
Ste A
Medford, OR 97504
Phone (541) 773-1124

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193616000000",
    "number": "1932279916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2780 E BARNETT RD",
            "address_2": "SUITE 130",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048674",
            "telephone_number": "541-779-6146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2780 E BARNETT RD",
            "address_2": "SUITE 130",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048674",
            "telephone_number": "541-779-6146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDFORD SPORTS INJURY & THERAPY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-10-29",
        "status": "A",
        "authorized_official_last_name": "ZERKEL",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DIRECTOR  OWNER",
        "authorized_official_telephone_number": "541-779-6146",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P T"
    },
    "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": "165076",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; 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.