SOUTHWEST PHYSICAL THERAPY NPI 1669695854

NPI Information

NPI: 1669695854
Provider Name: SOUTHWEST PHYSICAL THERAPY

Other Name: SOUTHWESTS PHYSICAL THERAPY & JOHN BREUER REHABILITATION SERVICES

Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
913 11TH ST SE
SUITE 1
BANDON, OR
ZIP 97411
Phone: (541) 347-4314
Get Directions

SOUTHWEST PHYSICAL THERAPY is a rehabilitation clinic center in Bandon, OR. SOUTHWEST PHYSICAL THERAPY NPI is 1669695854. The provider is registered as an organization entity type.
The provider Other Name Is Southwests Physical Therapy & John Breuer Rehabilitation Services.

The provider's business location address is:

913 11TH ST SE
SUITE 1
BANDON, OR
ZIP 97411-168
Phone: (541) 347-4314

The provider's authorized official is Cory Dorland .
The authorized official title is Business Manager and has the following contact phone number (541) 269-7212.

The enumeration date for this NPI number is 4/10/2007 and was last updated on 9/24/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0400X	Clinic/Center	Rehabilitation			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	052105	MEDICAID	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »