Samaritan Athletic Medicine - Physical Therapy – Sports Physical Therapist, NPI 1083342356

Samaritan Athletic Medicine - Physical Therapy is a healthcare provider. based in Corvallis, Oregon. specializing in Sports Physical Therapist. The NPI Number for Samaritan Athletic Medicine - Physical Therapy is 1083342356

Main info

Organization
Name
Samaritan Athletic Medicine - Physical Therapy
NPI
1083342356
Phone
(541) 768-7700
Address
PO BOX 1189
Authorized Official
LAURA ALFERD HENNUM CEO-GSRMC
Enumeration Date
12 August 2022
Last Update Date
12 August 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience21
Completeness80
Years active:3State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Samaritan Athletic Medicine - Physical Therapy

  • PO BOX 1189

    CORVALLIS, OR 973391189

    Phone: (541) 768-7700

    Fax: (541) 768-9784

    Type: Mailing

  • 845 SW 30TH ST

    CORVALLIS, OR 973318629

    Phone: (541) 768-7700

    Fax: (541) 768-9784

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97339)

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Frequently asked questions

Is there an official ID for Samaritan Athletic Medicine - Physical Therapy in U.S. healthcare records?
The official identifier for Samaritan Athletic Medicine - Physical Therapy is NPI 1083342356.
Is there an active status for Samaritan Athletic Medicine - Physical Therapy?
For scheduling context, Samaritan Athletic Medicine - Physical Therapy is shown as active in the registry.
What area of care is associated with Samaritan Athletic Medicine - Physical Therapy?
Samaritan Athletic Medicine - Physical Therapy's record emphasizes Sports Physical Therapist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Samaritan Athletic Medicine - Physical Therapy?
Travel planning: use Corvallis, Oregon as the reference point for Samaritan Athletic Medicine - Physical Therapy, then confirm.
When was this NPI issued?
Enumeration for Samaritan Athletic Medicine - Physical Therapy is noted as August 12, 2022 where the registry provides it.

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