# CONNECTED PHYSICAL THERAPY

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

## Provider details

- **NPI number:** 1942672142
- **Authorized official:** KELLY CATHERINE MARTIN PT (OWNER)
- **Authorized official phone:** (541) 500-1779

## Contact information

- **Practice address:** 2627 SISKIYOU BLVD STE 102, MEDFORD, OR 97504-8188
- **Practice address phone:** (541) 500-1779
- **Practice address fax:** (541) 500-1943
- **Mailing address:** 2627 SISKIYOU BLVD STE 102, MEDFORD, OR 97504-8188
- **Mailing address phone:** (541) 500-1779
- **Mailing address fax:** (541) 500-1943

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | 5148 | OR | Yes |

## Other

- **Enumeration date:** 10/27/2015
- **Last updated:** 12/13/2021