CORVALLIS SPORT AND SPINE PT (CORVALLIS SPORT AND SPINE PHYSICAL THERAPY INC) NPI 1841388170

Physical Therapist in Corvallis, OR

NPI 1841388170 Organization Physical Therapist

About CORVALLIS SPORT AND SPINE PT (CORVALLIS SPORT AND SPINE PHYSICAL THERAPY INC)

Corvallis Sport And Spine Pt (corvallis Sport And Spine Physical Therapy Inc) is a provider established in Corvallis, Oregon specializing in physical therapist. The NPI number of Corvallis Sport And Spine Pt (corvallis Sport And Spine Physical Therapy Inc) is 1841388170 and was assigned on October 2006. The practitioner's primary taxonomy code is 225100000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Corvallis Sport And Spine Pt (corvallis Sport And Spine Physical Therapy Inc) operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's other name is Corvallis Sport And Spine Pt. The authorized official of this NPI record is Karla A Moore Mspt (Co Owner Corvallis Sport And Spine)

NPI

1841388170

Provider NameCORVALLIS SPORT AND SPINE PT (CORVALLIS SPORT AND SPINE PHYSICAL THERAPY INC)
Provider Location Address2635 NW ROLLING GREEN DR CORVALLIS, OR 97330
Provider Mailing Address2635 NW ROLLING GREEN DR CORVALLIS, OR 97330
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameCORVALLIS SPORT AND SPINE PT
Other Name TypeOther Name (5)
Enumeration Date10-11-2006
Last Update Date03-11-2019


Primary Taxonomy

Taxonomy Code225100000X
ClassificationPhysical Therapist
TypeRespiratory, Developmental, Rehabilitative and Restorative Service Providers
License StateOR
Taxonomy DescriptionPhysical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Business Address

CORVALLIS SPORT AND SPINE PT
2635 NW ROLLING GREEN DR
CORVALLIS, OR
ZIP 97330
Phone: (541) 753-4246
Fax: (541) 757-0545

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Mailing Address

CORVALLIS SPORT AND SPINE PT
2635 NW ROLLING GREEN DR
CORVALLIS, OR
ZIP 97330
Phone: (541) 753-4246
Fax: (541) 757-0545



Authorized Official

Authorized Official Name KARLA A MOORE MSPT
Authorized Official TitleCO OWNER CORVALLIS SPORT AND SPINE
Authorized Official Phone(541) 753-4246

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
831588000OTHER (01)

Other Providers at the same location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1417958653DR. RYAN DAVID SPARKS DMD
Individual
Dentist (General Practice)2635 NW ROLLING GREEN DR
CORVALLIS, OR 97330
(541) 754-9322
1225567837 PETER TROY MCMILLAN DPT
Individual
Physical Therapist2635 NW ROLLING GREEN DR
CORVALLIS, OR 97330
1770069478 ERIN M FUSTING DPT
Individual
Physical Therapist2635 NW ROLLING GREEN DR
CORVALLIS, OR 97330
(541) 753-4246
1003354630 MOLLYANN HUNT BS, DPT
Individual
Physical Therapist2635 NW ROLLING GREEN DR
CORVALLIS, OR 97330
(541) 752-0545
1700400066 MATTHEW E GERLACH DPT
Individual
Physical Therapist2635 NW ROLLING GREEN DR
CORVALLIS, OR 97330
(541) 753-4246

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.