Organization
ADVANCED PHYSICAL THERAPY AND ORTHOPEDIC REHABILITATION PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN SHIMEK MPT (PRESIDENT OWNER)
(541) 773-7776
Entity
Organization
Contact information
Practice address
1910 E BARNETT RD, SUITE 103, MEDFORD, OR 97504-8672
(541) 773-7776
(541) 773-7786
Mailing address
1910 E BARNETT RD, SUITE 103, MEDFORD, OR 97504-8672
(541) 773-7776
(541) 773-7786
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT3277
OR
225200000X
Physical Therapy Assistant
Primary
PTA7591
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007177429
AETNA
—
05
—
209044
—
OR
01
—
3000166
GEHA
—
01
—
DB6155
RAIL ROAD MEDICARE
—
01
—
K332601
PACIFIC SOURCE
—
01
—
P00117730
RAIL ROAD MEDICARE
—
Enumeration date
02/06/2007
Last updated
09/11/2025
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