SOUTHWEST PHYSICAL THERAPY NPI 1669695854

NPI Information

  • NPI: 1669695854
  • Provider Name: SOUTHWEST PHYSICAL THERAPY
  • Classification: Clinic/Center - 261QR0400X
  • Specialization: Rehabilitation
  • Entity Type: Organization
  • Other Name: SOUTHWESTS PHYSICAL THERAPY & JOHN BREUER REHABILITATION SERVICES
  • Address: 913 11TH ST SE
    SUITE 1
    BANDON, OR
    ZIP 97411
  • Phone: (541) 347-4314

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NPI Details

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
1261QR0400XClinic/CenterRehabilitationYes

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
1052105MEDICAIDOREGON

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: 11/21/2025

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