ROSE CITY PHYSICAL THERAPY ASSOCIATES, LLC (NPI# 1588076954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588076954 |
| Entity Type | Organization |
| Organization Name | ROSE CITY PHYSICAL THERAPY ASSOCIATES, LLC |
| Other Organization Name | ROSE CITY ORTHOPEDIC & SPORTS PHYSICAL THERAPY |
| Practice Address |
1515 Nw 18th Ave Suite 400 Portland OR 97209-2516 |
| Practice Telephone | 5032281306 |
| Practice Fax Number | 5032281307 |
| Mailing Telephone | 5032281306 |
| Mailing Fax Number | 5032281307 |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2015-09-29 |
| Authorized Official Name | SASHA KOLBECK (CO-OWNER, PHYSICAL THERAPIST) |
| Authorized Official Telephone | 5032281306 |
| Authorized Official Credential | MPT, DPT |
| 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 |
| Other Name | Type Code |
|---|---|
| Rose City Orthopedic & Sports Physical Therapy | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | ROSE CITY PHYSICAL THERAPY ASSOCIATES, LLC | 1515 Nw 18th Ave, Suite 400, Portland, OR 97209 |
| Street Address |
1515 NW 18TH AVE SUITE 400 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97209-2516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245230952 | Leo Francis Quinn Jr. | Physical Therapist | 1515 Nw 18th Ave, Ste 400, Portland, OR 97209-2515 | 2005-07-22 |
| 1316497928 | Orthopedic & Sports Medicine Center of Or LLC | Physician Assistant | 1515 Nw 18th Ave, #300, Portland, OR 97209-2516 | 2016-10-06 |
| 1851645121 | Suzanne Chi | Acupuncturist | 1515 Nw 18th Ave, Suite 400, Portland, OR 97209-2516 | 2012-11-07 |
| 1740538115 | Genesis Medical Group, LLC. | Prosthetic/Orthotic Supplier | 1515 Nw 18th Ave, Suite 100, Portland, OR 97209-2516 | 2012-08-16 |
| 1245482280 | Northwest Ambulatory Surgery Center LLC | Clinic/Center | 1515 Nw 18th Ave, Ste 200, Portland, OR 97209-2516 | 2008-10-22 |
| 1225293285 | Emily C Nguyen | Orthopaedic Surgery | 1515 Nw 18th Ave, Ste 300, Portland, OR 97209-2539 | 2008-07-18 |
| 1750420063 | Pettygrove Physical Therpay Associates LLC | Physical Therapist | 1515 Nw 18th Ave, Suite 400, Portland, OR 97123 | 2007-02-05 |
| 1376600049 | Barry A Jacoshenk | Physician Assistant | 1515 Nw 18th Ave, Suite 300, Portland, OR 97209-2516 | 2007-01-02 |
| 1376579631 | Justin Robert Thibeault | Physician Assistant | 1515 Nw 18th Ave, 3rd Floor, Portland, OR 97209-2516 | 2006-06-25 |
| 1235179656 | Derek Edward Lamprecht | Orthopaedic Surgery | 1515 Nw 18th Ave, Suite 300, Portland, OR 97209-2515 | 2006-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508476250 | Harrington Health Clinic | Nurse Practitioner | 310 Nw Glisan Street, Portland, OR 97209 | 2020-08-07 |
| 1619599636 | Rivers Way Training Clinic | Community/Behavioral Health | 2049 Nw Hoyt, Portland, OR 97209 | 2020-05-13 |
| 1518590538 | Julie Kay Igarta | Registered Nurse | 140 Northwest 14th Avenue, Portland, OR 97209 | 2020-02-18 |
| 1407492002 | Oregon Injection Clinic | Clinic/Center | 1500 Nw Lovejoy, 106, Portland, OR 97209 | 2019-11-19 |
| 1487202883 | Ann Tesora | Massage Therapist | 1320 Northwest 20th Avenue, Portland, OR 97209 | 2019-08-28 |
| 1972160455 | Vincent Martin | Massage Therapist | 210 Sw 17th Avenue, Portland, OR 97209 | 2019-05-21 |
| 1154896546 | Jennifer Marie Dodd | Social Worker | 1722 Nw Raleigh St Spc 412, Portland, OR 97209 | 2018-10-11 |
| 1922551910 | Ashley Crowell | Physician Assistant | 949 Nw Overton St Unit 306, Portland, OR 97209 | 2016-07-26 |
| 1326408394 | Jennifer Blain | Counselor | 324 Nw Davis, Portland, OR 97209 | 2016-03-03 |
| 1275993255 | Lauren Dodson | Licensed Practical Nurse | 324 Nw Davis St, Portland, OR 97209 | 2016-03-03 |
| Find all providers in zip 97209 | ||||
| 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.