CORVALLIS SPORT AND SPINE PT (CORVALLIS SPORT AND SPINE PHYSICAL THERAPY INC) NPI 1841388170
Physical Therapist in Corvallis, OR
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 Name | CORVALLIS SPORT AND SPINE PT (CORVALLIS SPORT AND SPINE PHYSICAL THERAPY INC) |
| Provider Location Address | 2635 NW ROLLING GREEN DR CORVALLIS, OR 97330 |
| Provider Mailing Address | 2635 NW ROLLING GREEN DR CORVALLIS, OR 97330 |
| NPI Entity Type | Organization |
| Is Sole Proprietor? | N/A |
| Is Organization Subpart? | No |
| Other Organization Name | CORVALLIS SPORT AND SPINE PT |
| Other Name Type | Other Name (5) |
| Enumeration Date | 10-11-2006 |
| Last Update Date | 03-11-2019 |
Primary Taxonomy
| Taxonomy Code | 225100000X |
| Classification | Physical Therapist |
| Type | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| License State | OR |
| Taxonomy Description | Physical 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:
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Business Address
CORVALLIS SPORT AND SPINE PT
2635 NW ROLLING GREEN DR
CORVALLIS, OR
ZIP 97330
Phone: (541) 753-4246
Fax: (541) 757-0545
Mailing Address
CORVALLIS SPORT AND SPINE PT
2635 NW ROLLING GREEN DR
CORVALLIS, OR
ZIP 97330
Phone: (541) 753-4246
Fax: (541) 757-0545
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 |
|---|---|---|
| 831588000 | OTHER (01) |
Other Providers at the same location
The following 5 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1417958653 | DR. 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 Therapist | 2635 NW ROLLING GREEN DR CORVALLIS, OR 97330 |
| 1770069478 | ERIN M FUSTING DPT Individual | Physical Therapist | 2635 NW ROLLING GREEN DR CORVALLIS, OR 97330 (541) 753-4246 |
| 1003354630 | MOLLYANN HUNT BS, DPT Individual | Physical Therapist | 2635 NW ROLLING GREEN DR CORVALLIS, OR 97330 (541) 752-0545 |
| 1700400066 | MATTHEW E GERLACH DPT Individual | Physical Therapist | 2635 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.