Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Direct Physical Therapy, LLC

Organization Physical Therapist · NPI 1205109014

Direct Physical Therapy, LLC is a Physical Therapist in Shady Cove, Oregon. Licensed in Oregon. Registered with an NPI since 2012.

Licensed in
OR
In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

21850 Highway 62 Ste 203
Shady Cove, OR 97539-8715
Phone: (541) 941-5170
Fax: (541) 878-8111
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5130 (OR)

Record details

NPI number1205109014
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lance Cooper — Owner/Physical Therapist · (541) 941-5170
NPI enumeratedFebruary 10, 2012
Last updated in NPPESApril 28, 2025
Certification dateApril 28, 2025
Mailing address997 Patton Ln, Ashland, OR 97520-9135

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