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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JAMES RICHARD NIEBERGALL, PT

Active

MR. JAMES RICHARD NIEBERGALL, PT is a Physical Therapy Assistant healthcare provider located in ESTACADA, Oregon. NPI 1417908294 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · ESTACADA, OR

Registration Details

NPI Number
1417908294
Provider Type
Individual
Gender
Male
NPI Issued
May 15, 2006 (20.238532375447 yrs)
Last Updated
Feb 28, 2017
Licenses
5165 (OR)
PT00007392 (WA)

Practice Information

Address
PO BOX 1979
SUITE 101 TAI BETHANY PHYSICAL THERAPY
ESTACADA, OR, 970231979
Browse OR providers · Browse ZIP 97023
Phone
5034662254
Fax
5034661143
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in ESTACADA, OR

Name Credential NPI
JOSH HANSEN DPT 1427606144
RHANDI JACKSON 1407647274
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.