Jerry Clifton Ivy PT

  • NPI 1093778680
According to our database, the NPI number for Jerry Clifton Ivy PT is 1093778680 and activated since 18 years ago. Jerry Clifton Ivy PT is an individual provider who specializes in Physical Therapist, and the primary practice location is 4 S Main St Ste B, Joseph, OR 97846. You can also contact Jerry Clifton Ivy PT via telephone number is (541) 432-1480. Provider NPI information was last updated on 01/16/2020.

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Overview of Jerry Clifton Ivy PT

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 04/06/2006
  • Last updated: 01/16/2020

Primary Scrop of Practice

  • Taxonomy Code: 225100000X
  • Specialty: Physical Therapist
  • License Number: 2125
  • License State: OR

Provider Mailing Address

  • Address: Po Box 355
    Enterprise, OR 97828
  • Phone: 541-426-4870
  • Fax: 541-426-4872

Provider Practice Location

  • Address: 4 S Main St Ste B
    Joseph, OR 97846
  • Phone: 541-432-1480
  • Fax: 541-432-1481

Scope of Practice

  • Taxonomy Code: 225100000X
  • Specialty: Physical Therapist
  • License Number: 2125
  • License State: OR
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 016852
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: OR
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Jerry Clifton Ivy PT?
  • A: The npi number for Jerry Clifton Ivy PT is 1093778680.
  • Q: What are Jerry Clifton Ivy PT's specialties?
  • A: Jerry Clifton Ivy PT's specialties are Physical Therapist and different specialities.
  • Q: What is the medical license for Jerry Clifton Ivy PT?
  • A: The medical license number for Jerry Clifton Ivy PT is 2125 and issued in OR in USA.
  • Q: Where is Jerry Clifton Ivy PT practice location?
  • A: Jerry Clifton Ivy PT is practicing at 4 S Main St Ste B, Joseph, OR 97846.
  • Q: How to contact Jerry Clifton Ivy PT?
  • A: You can contact Jerry Clifton Ivy PT via 541-432-1480.