Active NPI
Darren H Terry, PTA
- Physical Therapy Assistant
- Sweet Home, OR
National Provider Identifier
1952590960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 8334
- Practice address
- 1873 Ames Creek Rd
Sweet Home, OR 97386-2403 - Phone
- (541) 570-2633
- NPI assigned
- Oct 16, 2007
- Last updated
- Oct 16, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 8334 | OR | Primary |
Addresses
Primary practice location
1873 Ames Creek Rd
Sweet Home, OR 97386-2403
Mailing address
1873 Ames Creek Rd
Sweet Home, OR 97386-2403
Phone (541) 570-2633
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8334 | OR | MD | Plastic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192492800000",
"number": "1952590960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1873 AMES CREEK RD",
"city": "SWEET HOME",
"state": "OR",
"postal_code": "973862403",
"telephone_number": "541-570-2633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1873 AMES CREEK RD",
"city": "SWEET HOME",
"state": "OR",
"postal_code": "973862403",
"telephone_number": "541-570-2633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERRY",
"first_name": "DARREN",
"middle_name": "H",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-10-16",
"last_updated": "2007-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "OR",
"license": "8334",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sweet Home, OR
- Sweet Home Fire & Ambulance District
- Sweet Home MC LLC (Wiley Creek Memory Care)
- Sweet Home School District 55
- Carla Tadewaldt, LMFT
- Ashley Nichole Tenbusch, RN
- Randy L Townsend, LD
- Twin Oaks Rehab, Inc.
- Twin Oaks Rehab, LLC (Avamere Twin Oaks of Sweet Home)
- Chad Tyler, PA-C
- Amy Kathryn Vandetta, PTA, ATC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.