NPI 1194231159 · live from the CMS NPI Registry
Benchmark Physical Therapy Of Oregon LLC
Physical Therapist in Pacific City, OR. National Provider Identifier 1194231159, active.
NPI record
| NPI | 1194231159 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 38505 Brooten Rd, Pacific City, OR 97135 |
| Practice phone | 503-965-6400 |
| Mailing address | 6397 Lee Hwy Ste 300, Chattanooga, TN 37421 |
| Enumerated | December 28, 2017 |
| Last updated | May 7, 2018 |
| Authorized official | Kevin Johanneson, Vp Revenue Cycle |
| Other names | Benchmark PT - Lincoln City |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, | 235Z00000X | — |
| Occupational Therapist | 225X00000X | — |
| Physical Therapist primary | 225100000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.