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Contact Information

AXIS PHYSICAL THERAPY & REHAB INC
4660 MAIN STREET
D600-1
SPRINGFIELD, OR97478
 Phone: 541-683-6187
 Fax: 541-689-4525
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for AXIS PHYSICAL THERAPY & REHAB INC

NPI # 1144382904
LBN Legal business name AXIS PHYSICAL THERAPY & REHAB INC
Authorized official CHRISTOPHER SQUIRES - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 12/15/2006
Last updated 03/18/2026 - About 3 months ago
Identifiers
OR Medicaid 181410
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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