Provider Demographics
NPI:1134784564
Name:GREGORY C HELMS PT DPT L L C
Entity type:Organization
Organization Name:GREGORY C HELMS PT DPT L L C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:C
Authorized Official - Last Name:HELMS
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:541-224-3812
Mailing Address - Street 1:2020 NW FAWNEE DR
Mailing Address - Street 2:
Mailing Address - City:CORVALLIS
Mailing Address - State:OR
Mailing Address - Zip Code:97330-2869
Mailing Address - Country:US
Mailing Address - Phone:541-207-0425
Mailing Address - Fax:541-264-5644
Practice Address - Street 1:2020 NW FAWNEE DR
Practice Address - Street 2:
Practice Address - City:CORVALLIS
Practice Address - State:OR
Practice Address - Zip Code:97330-2869
Practice Address - Country:US
Practice Address - Phone:541-207-0425
Practice Address - Fax:541-264-5644
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-01
Last Update Date:2019-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatricsGroup - Single Specialty