GOLD BEACH PHYSICAL THERAPY & REHAB – NPI #1497979785
Clinic/Center

GOLD BEACH PHYSICAL THERAPY & REHAB is an AHC clinic located in GOLD BEACH, OR. NPPES has assigned the NPI number 1497979785 to GOLD BEACH PHYSICAL THERAPY & REHAB on April 11, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “GOLD BEACH PHYSICAL THERAPY & REHAB” is a dba name, the actual legal business name for this organization is SOUTHWEST PHYSICAL THERAPY. The primary taxonomy selected by this provider is 261QR0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Rehabilitation

The NPI profile was previously updated about 19 years ago on Sep 24, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GOLD BEACH PHYSICAL THERAPY & REHAB below.

NPI Profile for
SOUTHWEST PHYSICAL THERAPY

NPI Number
1497979785
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SOUTHWEST PHYSICAL THERAPY
Doing Business As (dba): GOLD BEACH PHYSICAL THERAPY & REHAB
Primary location
29286 ELLENSBURG
GOLD BEACH, OR 97444
Phone: (541) 247-2254 Fax:
Mailing address
PO BOX 1195
GOLD BEACH, OR 97444-1195
Phone: (541) 247-2254 Fax:
Organization Subpart
No
Authorized Official
CORY DORLAND
BUSINESS MANAGER
Phone: (541) 247-2254
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QR0400X
- Clinic/Center / Rehabilitation (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.