ORTHOPEDIC & TMJ PHYSICAL THERAPY CENTER (NPI# 1215133152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215133152 |
| Entity Type | Organization |
| Organization Name | ORTHOPEDIC & TMJ PHYSICAL THERAPY CENTER |
| Practice Address |
9204 Se Mitchell St Portland OR 97266 |
| Practice Telephone | 5037776746 |
| Practice Fax Number | 5037770023 |
| Mailing Telephone | 5037776746 |
| Mailing Fax Number | 5037770023 |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2008-06-19 |
| Authorized Official Name | MRS. CAROL R CONRADES (OWNER PHYSICAL THERAPIST) |
| Authorized Official Telephone | 5037776746 |
| Authorized Official Credential | RT PHYSICAL THER |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | ORTHOPEDIC & TMJ PHYSICAL THERAPY CENTER | 9204 Se Mitchell St, Portland, OR 97266 |
| Street Address |
9204 SE MITCHELL ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97266 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194755355 | Carol R Conrades | Clinic/Center | 9204 Se Mitchell St, Portland, OR 97266 | 2006-07-04 |
| 1194361378 | Kathrina Leavitt | Massage Therapist | 9204 Se Mitchell St, Portland, OR 97266-3831 | 2019-11-21 |
| 1548309149 | Joanne K Deazley | Physical Therapist | 9204 Se Mitchell St, Portland, OR 97266 | 2007-02-06 |
| 1356487623 | Carol Ray Conrades | Physical Therapist | 9204 Se Mitchell St, Portland, OR 97266 | 2007-01-30 |
| 1518003896 | Heather A Hannam | Physical Therapist | 9204 Se Mitchell St, Portland, OR 97266 | 2007-01-30 |
| 1427065317 | Heather Jean Deford | Physical Therapist | 9204 Se Mitchell St, Portland, OR 97266 | 2006-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528545969 | Willamette Pharmacy | Pharmacy | 10209 Se Division Build B Ste 100, Portland, OR 97266 | 2018-07-27 |
| 1992204697 | Sober Living Oregon Treatment Center | Clinic/Center | 10209 Se Division, Portland, OR 97266 | 2018-02-08 |
| 1699204024 | Malori Christine Butler | Registered Nurse | 7335 Se 85th Ave., Portland, OR 97266 | 2017-06-08 |
| 1487028882 | Emil Kunkel | Naturopath | 6318 Se 87th Ave, Portland, OR 97266 | 2015-11-23 |
| 1194195313 | Cory Hall-martin | Counselor | 10011 Se Division St #305, Portland, OR 97266 | 2015-09-30 |
| 1336517721 | Krispin Mayfield | Counselor | 10011 Se Division St., Suite 203, Portland, OR 97266 | 2015-09-02 |
| 1407247927 | Syrena Nicholson | Community Health Worker | 7721 Se 92nd Avenue, Apt K, Portland, OR 97266 | 2015-02-06 |
| 1659777886 | Berhanu Aynalem Mekbib | Adult Companion | 9125 Sw 55th, El Dorado, Portland, OR 97266 | 2014-11-17 |
| 1871930685 | Felicitas Amelia Penaloza | Behavioral Analyst | 9911 Se Mt.scott Boulevard, Portland, OR 97266 | 2013-06-03 |
| 1710237326 | Janna Renee Higgins | Case Manager/Care Coordinator | 9911 Se Mt. Scott Boulevard, Portland, OR 97266 | 2012-09-12 |
| Find all providers in zip 97266 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841898632 | Spine Strong Physical Therapy and Scoliosis Rehabilitation | Clinic/Center | 251 Danforth St Unit 1, Portland, ME 04102-3705 | 2020-10-13 |
| 1356969976 | Readygo Physical Therapy LLC | Clinic/Center | 904 Se 69th Ave, Portland, OR 97215-2120 | 2020-07-09 |
| 1144865841 | St. Johns Physical Therapy | Clinic/Center | 8835 N Bradford St, Portland, OR 97203-2869 | 2019-11-18 |
| 1215584446 | Patrick Franko Pt LLC | Clinic/Center | 2331 Ne 43rd Ave, Portland, OR 97213-1332 | 2019-08-22 |
| 1487112553 | Tabor Pediatric Physical Therapy LLC | Clinic/Center | 2224 Se 53rd Ave, Portland, OR 97215-3916 | 2019-03-07 |
| 1629542675 | Helen Quirk Ms Physical Therapy, LLC | Clinic/Center | 10200 Sw Eastridge St Ste 115, Portland, OR 97225-5031 | 2019-01-13 |
| 1063996585 | Physioflow | Clinic/Center | 7324 Sw Virginia Ave, Portland, OR 97219-3039 | 2018-09-20 |
| 1477084549 | Physio Pdx LLC | Clinic/Center | 2250 Nw Flanders St Ste G1, Portland, OR 97210-3475 | 2017-03-21 |
| 1417319781 | Body Mechanix | Clinic/Center | 530 Nw 23rd Ave Ste 116, Portland, OR 97210-3287 | 2016-03-24 |
| 1164899373 | Root & Branch Physical Therapy | Clinic/Center | 2232 Nw Pettygrove St, Ste 110, Portland, OR 97210 | 2015-08-24 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.