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MIGHTY OAKS CHILDREN'S THERAPY CENTER NPI 1902935414


NPI Information

NPI: 1902935414
Provider Name: MIGHTY OAKS CHILDREN'S THERAPY CENTER

Former Legal Business Name: MIGHTY OAKS DEVELOPMENTAL CENTER

Classification: Physical Therapist - 2251P0200X
Entity Type: Organization

Specialization: Pediatrics

Address:
3615 SPICER DR SE
ALBANY, OR
ZIP 97322
Phone: (541) 967-7551
Get Directions

MIGHTY OAKS CHILDREN'S THERAPY CENTER is a pediatrics physical therapist in Albany, 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. MIGHTY OAKS CHILDREN'S THERAPY CENTER NPI is 1902935414. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Mighty Oaks Developmental Center.

The provider's business location address is:

3615 SPICER DR SE
ALBANY, OR
ZIP 97322-043
Phone: (541) 967-7551
Fax: (541) 967-5095

The provider's authorized official is Tami M Walters .
The authorized official title is Executive Director and has the following contact phone number (541) 967-7551.

The enumeration date for this NPI number is 3/2/2007 and was last updated on 8/22/2020.


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
12251P0200XPhysical TherapistPediatricsYes
2225XP0200XOccupational TherapistPediatricsX
3235Z00000XSpeech-Language PathologistX

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17008454OTHEROREGONBLUE CROSS BLUE SHIELD

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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