NPI 1760846554 · live from the CMS NPI Registry
Benchmark Physical Therapy Of Oregon LLC
Physical Therapist in Grants Pass, OR. National Provider Identifier 1760846554, active.
NPI record
| NPI | 1760846554 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 625 Sw Ramsey Ave Ste B, Grants Pass, OR 97527 |
| Practice phone | 541-479-6979 |
| Mailing address | 8823 Production Ln, Ooltewah, TN 37363 |
| Enumerated | April 8, 2016 |
| Last updated | April 8, 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.