NPI 1376904425 · live from the CMS NPI Registry
Benchmark Physical Therapy Of Oregon LLC
Physical Therapist in Medford, OR. National Provider Identifier 1376904425, active.
NPI record
| NPI | 1376904425 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 3512 Excel Dr Ste 105, Medford, OR 97504 |
| Practice phone | 541-245-0419 |
| Mailing address | 8823 Production Ln, Ooltewah, TN 37363 |
| Enumerated | March 17, 2016 |
| Last updated | March 17, 2016 |
| Authorized official | Kevin Johanneson, Vp Revenue Cycle |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapist | 225X00000X | — |
| Speech-Language Pathologist, | 235Z00000X | — |
| Physical Therapist primary | 225100000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.