Pt Northwest Llc in Salem - Physical Therapy

Pt Northwest Llc - NPI 1417934886

Pt Northwest Llc is a Physical Therapy in Salem, Oregon. Pt Northwest Llc practices all healthcare services and medical treatments related to Physical Therapy. The NPI Number for Pt Northwest Llc is 1417934886. The last update date is 2013-06-12.

Pt Northwest Llc's current location address is 685 36th Ave Ne, Salem, Oregon. You can contact this provider via phone number 5035408701 and fax number 5033718772. The mailing address for Pt Northwest Llc is 685 36th Ave Ne, Salem, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Organization Pt Northwest Llc
Address 685 36th Ave Ne, Salem, Oregon
Phone Number 5035408701
Fax Number 5033718772
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Hawkins I Kennedy
Telephone Number 5035408701

NPI Number Detail

NPI Number 1417934886
Provider Enumeration Date 2005-12-28
Last Updated Date 2013-06-12

Provider Mailing Address Detail

Address 685 36th Ave Ne
City Salem
State Oregon (OR)
Post Code 973014741
Phone Number 5035408701
Fax Number 5033718772

Provider's Primary Taxonomy Detail

Speciality Physical Therapy
Taxonomy 261Qp2000X
Definition:
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical a

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
386522 OR MEDICARE ID TYPE UNSPECIFIED

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FAQs about Pt Northwest Llc

What is the unique identifier code issued to Pt Northwest Llc by the Centers for Medicare & Medicaid Services?

The Pt Northwest Llc has been assigned the NPI (National Provider Identifier) 1417934886. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Pt Northwest Llc is physically located?

The Pt Northwest Llc is physically situated at the following address: 685 36Th Ave Ne, Salem, OR, 973014741.

What is the Pt Northwest Llc's area of specialization and corresponding taxonomy classification?

The Pt Northwest Llc's specialty field is Physical Therapy, and it falls under the taxonomy code 261Qp2000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services issue the 1417934886 to Pt Northwest Llc?

The Pt Northwest Llc received its 1417934886 assignment from the Centers for Medicare & Medicaid Services on 2005-12-28.

As of what date was the information regarding Pt Northwest Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Pt Northwest Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-06-12.

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