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GOOD SAMARITAN HOSPITAL CORVALLIS
NPI 1083342356
Physical Therapist - Sports in Corvallis, OR

Active since August 12, 2022
845 SW 30TH ST, CORVALLIS, OR 97331(541) 768-7700(541) 768-9784 Get Directions Write a Review

NPPES record last updated: August 12, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Good Samaritan Hospital Corvallis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GOOD SAMARITAN HOSPITAL CORVALLIS (NPI 1083342356), doing business as Samaritan Athletic Medicine - Physical Therapy, is a healthcare organization registered as a sports in Corvallis, Oregon and active in the NPI registry since August 2022. The organization lists Laura Alferd Hennum, Ceo-gsrmc, as its authorized official.

NPPES Registry Identity

NPI1083342356
Entity TypeOrganization
Primary Taxonomy2251S0007X
Legal Business NameGOOD SAMARITAN HOSPITAL CORVALLIS
Location Address845 SW 30TH STCorvallis, OR 97331-8629
Mailing AddressPo Box 1189Corvallis, OR 97339-1189 · (541) 768-7700 · Fax (541) 768-9784
Phone(541) 768-7700
Fax(541) 768-9784
Organization SubpartNo
Authorized OfficialLaura Alferd HennumCeo-gsrmc · (541) 768-5011
Enumeration DateAugust 12, 2022
NPPES CertifiedAugust 10, 2022
✔ NPI 1083342356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · SportsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251S0007X
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement.
845 SW 30TH ST, Corvallis, OR 97331
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Other Names 1

Doing Business AsSamaritan Athletic Medicine - Physical Therapy

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Oregon.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Good Samaritan Hospital Corvallis is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

521

Medicare enrollment records show 521 clinicians reassign Medicare billing to Good Samaritan Hospital Corvallis, which bills Medicare for the services they deliver. Of these, 9 practice at this address and 317 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 50

Internal Medicine91
Family Practice57
Nurse Practitioner40
Anesthesiology37
Pediatric Medicine30
Physical Therapist in Private Practice28
Psychiatry26
Certified Registered Nurse Anesthetist (CRNA)25
42 other specialties187

Nearest to this location (20)

See all 521
Douglas Aukerman, MD
Family Practice
NPI 1295799211
845 SW 30TH ST
Corvallis, OR 97331
(541) 768-7700
✔ PECOS✔ Accepts MedicareSame address
Shawn Cole, PT
Physical Therapist in Private Practice
NPI 1699089854
845 SW 30TH ST
Corvallis, OR 97331
(541) 768-7700
✔ Accepts MedicareSame address
Christina Davis, MPT, DPT
Physical Therapist in Private Practice
NPI 1871809095
845 SW 30TH ST
Corvallis, OR 97331
(541) 768-7700
✔ Accepts MedicareSame address
Craig Graham, M.D.
Family Practice
NPI 1487696068
845 SW 30TH ST
Corvallis, OR 97331
(541) 768-7700
✔ PECOS✔ Accepts MedicareSame address
Joshua Lenhof, D.O.
Family Practice
NPI 1780947044
845 SW 30TH ST
Corvallis, OR 97331
(541) 768-7700
✔ PECOS✔ Accepts MedicareSame address
Travis Obermire, DPT
Physical Therapist in Private Practice
NPI 1013237718
845 SW 30TH ST
Corvallis, OR 97331
(541) 768-7700
✔ Accepts MedicareSame address
Nicholas Phillips, MD
Sports Medicine
NPI 1770803892
845 SW 30TH ST
Corvallis, OR 97331
(541) 768-7700
✔ PECOS✔ Accepts MedicareSame address
Kaitlyn Schlueter, DPT
Physical Therapist in Private Practice
NPI 1588161517
845 SW 30TH ST
Corvallis, OR 97331
(541) 768-7700
✔ Accepts MedicareSame address
Shanon Williams, DPT
Physical Therapist in Private Practice
NPI 1225602436
845 SW 30TH ST
Corvallis, OR 97331
(541) 768-7700
✔ Accepts MedicareSame address
Andre Cabalang
Physical Therapist in Private Practice
NPI 1568211340
845 SW 30TH ST
Corvallis, OR 97331
(541) 768-7700
✔ Accepts Medicare0.1 mi
Chase Cole
Physical Therapist in Private Practice
NPI 1669212775
845 SW 30TH ST
Corvallis, OR 97331
(541) 768-7700
✔ Accepts Medicare0.1 mi
Tim Eshelman, PT, DPT
Physical Therapist in Private Practice
NPI 1174467542
845 SW 30TH ST
Corvallis, OR 97331
(541) 768-7700
0.1 mi
Tyler Guerra Powers
Physical Therapist in Private Practice
NPI 1346192523
845 SW 30TH ST
Corvallis, OR 97331
(541) 768-7700
✔ Accepts Medicare0.1 mi
Kaitlyn Krueger, PT, DPT
Physical Therapist in Private Practice
NPI 1235025537
845 SW 30TH ST
Corvallis, OR 97331
(541) 768-7700
✔ Accepts Medicare0.1 mi
Christopher Mccrum
Orthopedic Surgery
NPI 1952643744
845 SW 30TH ST
Corvallis, OR 97331
(541) 768-7700
✔ PECOS✔ Accepts Medicare0.1 mi
Leyen Vu, D.O.
Sports Medicine
NPI 1285886366
845 SW 30TH ST
Corvallis, OR 97331
(541) 768-7700
✔ PECOS✔ Accepts Medicare0.1 mi
Mary Hansen, DO
Family Practice
NPI 1104445741
850 SW 26TH ST
Corvallis, OR 97339
(541) 768-8800
✔ PECOS✔ Accepts Medicare0.2 mi
Rebekah Owen Thayer, M.D.
Internal Medicine
NPI 1285676072
850 SW 26TH ST
Corvallis, OR 97331
(541) 737-9355
✔ PECOS0.2 mi
Jenny Stegeman-Olsen
Family Practice
NPI 1760431464
850 SW 26TH ST
Corvallis, OR 97330
(541) 768-8800
✔ PECOS✔ Accepts Medicare0.2 mi
Ryan Reeser, DO
Family Practice
NPI 1467955211
850 SW 26TH ST
Corvallis, OR 97330
(541) 768-8800
✔ PECOS✔ Accepts Medicare0.3 mi
See all 521 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Good Samaritan Hospital Corvallis's NPI number?

The NPI number for Good Samaritan Hospital Corvallis is 1083342356. It was assigned to this organization in the NPPES registry on August 12, 2022. The provider is doing business as Samaritan Athletic Medicine - Physical Therapy.

Where is Good Samaritan Hospital Corvallis located?

Good Samaritan Hospital Corvallis is located at 845 SW 30th St, Corvallis, OR 97331. The listed phone number is (541) 768-7700.

What is Good Samaritan Hospital Corvallis's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Sports, with taxonomy code 2251S0007X.

Is Good Samaritan Hospital Corvallis enrolled in Medicare?

Yes. Good Samaritan Hospital Corvallis is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Good Samaritan Hospital Corvallis?

According to the CMS Revalidation Reassignment List (October 2026 release), 521 clinicians in 50 Medicare specialties reassign their Medicare billing to Good Samaritan Hospital Corvallis. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Internal Medicine (91), Family Practice (57) and Nurse Practitioner (40). Of these, 9 practice at this address and 317 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Good Samaritan Hospital Corvallis accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Good Samaritan Hospital Corvallis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Good Samaritan Hospital Corvallis was last updated on August 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.