Convergence Physical Therapy And Performance

LBN: Convergence Physical Therapy And Performance
Convergence Physical Therapy And Performance is an health care organization with primary practice located at 303 S 5Th St Ste 140 , Springfield OR 97477-5480. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Convergence Physical Therapy And Performance can be contacted via phone (541) 625-0191, or through Tanaka, Tyler via phone (808) 392-0058.

Contact Information

Primary practice address
303 S 5Th St Ste 140 Springfield OR 97477-5480
Phone: (541) 625-0191
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tanaka, Tyler PT, DPT
Phone: (808) 392-0058

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X

Profile Details

NPI number 1184221335
LBN Legal business name Convergence Physical Therapy And Performance
DBA Doing business as
Authorized official Tanaka, Tyler PT, DPT
Entity Organization
Organization subpart 1 No
Enumeration date Oct 1st, 2020
Last updated Oct 1st, 2020 - about 5 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.

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