Fairway Physical Therapy, Llc
LBN: Fairway Physical Therapy, Llc
Fairway Physical Therapy, Llc is an health care organization with primary practice located at 211 Dakota St , Sutherlin OR 97479-9908. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty.
Fairway Physical Therapy, Llc can be contacted via phone (541) 315-2851, or through Hirtle, Dan Wakefield via phone (541) 580-8106.
Contact Information
Primary practice address
211 Dakota St
Sutherlin OR 97479-9908
Phone: (541) 315-2851
Fax: (541) 315-2853
Website:
Authorized official contact:
Name: Hirtle, Dan Wakefield Physical Therapist (PT)
Phone: (541) 580-8106
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 02521 | Oregon |
Profile Details
| NPI number | 1669924007 |
|---|---|
| LBN Legal business name | Fairway Physical Therapy, Llc |
| DBA Doing business as | |
| Authorized official | Hirtle, Dan Wakefield Physical Therapist (PT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 2nd, 2016 |
| Last updated | Nov 2nd, 2016 - about 10 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669924007 | NPPES |
| Oregon | Other | 1487639977 | INDIVIDUAL NPI |
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