COVERED BRIDGE PHYSICAL THERAPY LLC (NPI# 1609068998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609068998 |
| Entity Type | Organization |
| Organization Name | COVERED BRIDGE PHYSICAL THERAPY LLC |
| Practice Address |
1445 Gateway Blvd Cottage Grove OR 97424-1224 |
| Practice Telephone | 5419427000 |
| Practice Fax Number | 5419425550 |
| Mailing Telephone | 5419427000 |
| Mailing Fax Number | 5419425550 |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2007-08-10 |
| Authorized Official Name | JENNIFER MCGRANAHAN (PRACTICE MANAGER) |
| Authorized Official Telephone | 5419427000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
0440 | OR | Ambulatory Health Care Facilities |
| Street Address |
1445 GATEWAY BLVD |
| City | COTTAGE GROVE |
| State | OR |
| Zip Code | 97424-1224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093714701 | Nancy J Worley | Physical Medicine & Rehabilitation | 1445 Gateway Blvd, Suite D, Cottage Grove, OR 97424 | 2005-07-15 |
| 1255683140 | Martin Roco | Nurse Practitioner | 1445 Gateway Blvd, Cottage Grove, OR 97424-1224 | 2012-10-03 |
| 1891070207 | Devon E. Schneider | Nurse Practitioner | 1445 Gateway Blvd, Cottage Grove, OR 97424-1224 | 2011-10-17 |
| 1578880548 | Larry Arthur Jackson | Family Medicine | 1445 Gateway Blvd, Cottage Grove, OR 97424-1224 | 2010-04-29 |
| 1720152465 | Ben Douglas Johnson | Physician Assistant | 1445 Gateway Blvd, Cottage Grove, OR 97424-1224 | 2006-11-17 |
| 1932281656 | William Vogel | Physician Assistant | 1445 Gateway Blvd, Cottage Grove, OR 97424-1224 | 2006-10-20 |
| 1750492906 | Icco LLC | Clinic/Center | 1445 Gateway Blvd, Cottage Grove, OR 97424-1224 | 2006-08-31 |
| 1407872815 | Diana L. V. Knee | Social Worker | 1445 Gateway Blvd, Suite A, Cottage Grove, OR 97424-1224 | 2006-07-15 |
| 1326085846 | Mary Ruth | Nurse Practitioner | 1445 Gateway Blvd, Cottage Grove, OR 97424-1224 | 2006-06-01 |
| 1225001720 | Judith Dolene Stensland | Family Medicine | 1445 Gateway Blvd, Cottage Grove, OR 97424-1224 | 2006-02-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851936157 | Naomi Higgs | Physical Therapy Assistant | 515 Grant St, Cottage Grove, OR 97424 | 2019-11-10 |
| 1588131296 | Home Town Drugs of Cottage Grove, Inc. | Pharmacy | 1205 Hwy 99 North, Cottage Grove, OR 97424 | 2018-10-31 |
| 1215420625 | Zachary Booth | Student in an Organized Health Care Education/Training Program | 28188 Cottage Grove Lorane Rd, Cottage Grove, OR 97424 | 2018-06-11 |
| 1124404090 | Eileen Nittler | Social Worker | 1345 Birch Avenue, Cottage Grove, OR 97424 | 2015-08-03 |
| 1851799787 | Kathryn Brooks | Licensed Practical Nurse | 520 Patrick Loop, Cottage Grove, OR 97424 | 2014-12-09 |
| 1558767814 | Michele Renee Savage | Orthotic Fitter | 148 Gateway Blvd, Cottage Grove, OR 97424 | 2014-11-14 |
| 1730598558 | John Mansfield | Pharmacist | 120 Andrew Drive, Cottage Grove, OR 97424 | 2014-08-06 |
| 1700213493 | Aspen Injury Center LLC | Chiropractor | 1260 East Main Street, Cottage Grove, OR 97424 | 2013-09-26 |
| 1609172956 | Megan Olds | Counselor | 37 South 6th Street, Cottage Grove, OR 97424 | 2011-02-03 |
| 1144530726 | Monica G Radley | Counselor | 1345 Birch Ave., Cottage Grove, OR 97424 | 2010-10-15 |
| Find all providers in zip 97424 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275936296 | South Lane Physical Therapy LLC | Clinic/Center | 303 E Main St, Cottage Grove, OR 97424-2032 | 2014-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881292639 | Blueprint Sports Therapy | Clinic/Center | 17440 Sw Reusser Ct, Beaverton, OR 97007-8772 | 2020-10-14 |
| 1790383982 | Fluid Movement LLC | Clinic/Center | 2565 Bowmont Dr, Eugene, OR 97405-1407 | 2020-10-11 |
| 1184221335 | Convergence Physical Therapy and Performance | Clinic/Center | 303 S 5th St Ste 140, Springfield, OR 97477-5480 | 2020-10-01 |
| 1356969976 | Readygo Physical Therapy LLC | Clinic/Center | 904 Se 69th Ave, Portland, OR 97215-2120 | 2020-07-09 |
| 1619591815 | Cyti LLC | Clinic/Center | 11350 Sw Canyon Rd # 202, Beaverton, OR 97005-2234 | 2020-06-03 |
| 1144865841 | St. Johns Physical Therapy | Clinic/Center | 8835 N Bradford St, Portland, OR 97203-2869 | 2019-11-18 |
| 1750930004 | Revolutions Physical Therapy LLC | Clinic/Center | 8751 Sw Pamlico Ct, Tualatin, OR 97062-9345 | 2019-09-10 |
| 1487202362 | Mpt LLC | Clinic/Center | 98158 W Benham Ln Ste 10, Brookings, OR 97415-9546 | 2019-09-03 |
| 1215584446 | Patrick Franko Pt LLC | Clinic/Center | 2331 Ne 43rd Ave, Portland, OR 97213-1332 | 2019-08-22 |
| 1689228686 | Ground Work Physical Therapy | Clinic/Center | 2330 Ne Division St Ste 1, Bend, OR 97703-3570 | 2019-07-29 |
| Find all providers with the same taxonomy | ||||
| City | COTTAGE GROVE |
| Zip Code | 97424 |
Please comment or provide details below to improve the information on COVERED BRIDGE PHYSICAL THERAPY LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.