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OPTIMAL THERAPY FOR KIDS LLC NPI 1790189025


NPI Information

NPI: 1790189025
Provider Name: OPTIMAL THERAPY FOR KIDS, LLC
Classification: Physical Therapist - 2251P0200X
Entity Type: Organization

Specialization: Pediatrics

Address:
1145 ROCK CREEK DR S
SALEM, OR
ZIP 97306
Phone: (503) 453-6335
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OPTIMAL THERAPY FOR KIDS, LLC is a pediatrics physical therapist in Salem, OR. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given. OPTIMAL THERAPY FOR KIDS, LLC NPI is 1790189025. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1145 ROCK CREEK DR S
SALEM, OR
ZIP 97306-222
Phone: (503) 453-6335

The provider's authorized official is Sascha Gervais .
The authorized official title is Owner/physical Therapist and has the following contact phone number (503) 453-6335.

The enumeration date for this NPI number is 10/15/2014 and was last updated on 10/15/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225XP0200XOccupational TherapistPediatrics306415OREGONNo
22251P0200XPhysical TherapistPediatrics4469OREGONYes

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: 4/28/2024

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