# NEW HEIGHTS PHYSICAL THERAPY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285766246
- **Authorized official:** JERRY CLIFTON IVY PT (OWNER)
- **Authorized official phone:** (541) 426-4870

## Contact information

- **Practice address:** 4 S MAIN ST STE B, JOSEPH, OR 97846-8434
- **Practice address phone:** (541) 432-1480
- **Practice address fax:** (541) 432-1481
- **Mailing address:** PO BOX 355, ENTERPRISE, OR 97828-0355
- **Mailing address phone:** (541) 432-1480
- **Mailing address fax:** (541) 432-1481

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 2125 | OR | Yes |

## Other

- **Enumeration date:** 03/12/2007
- **Last updated:** 02/13/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 278254 | — | OR |
