OREGON PHYSICAL THERAPY & SPORTS (NPI# 1649507617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649507617 |
Entity Type | Organization |
Organization Name | OREGON PHYSICAL THERAPY & SPORTS |
Practice Address |
3620 Ne 122nd Ave Suite C Portland OR 97230-1365 |
Practice Telephone | 5032524100 |
Practice Fax Number | 5032523390 |
Mailing Telephone | 5032524100 |
Mailing Fax Number | 5032523390 |
Enumeration Date | 2009-11-11 |
Last Update Date | 2015-07-24 |
Authorized Official Name | MRS. SCARLETTE M MIRANDA (OFFICE MANAGER) |
Authorized Official Telephone | 5032524100 |
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 |
Street Address |
3620 NE 122ND AVE SUITE C |
City | PORTLAND |
State | OR |
Zip Code | 97230-1365 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588617658 | Fang Kun Chen | Acupuncturist | 3620 Ne 122nd Ave, Suite D, Portland, OR 97230-1365 | 2006-05-18 |
1215101555 | Leonardo Tony Porreco | Physical Therapist | 3620 Ne 122nd Ave, Suite C, Portland, OR 97230-1365 | 2008-04-17 |
1174797690 | Chen's Acupuncture Center, P.C. | Acupuncturist | 3620 Ne 122nd Ave, Suite D, Portland, OR 97230-1365 | 2008-04-16 |
1700912235 | The Oregon Physical Therapy & Sports Medicine Center | Physical Therapist | 3620 Ne 122nd Ave, Suite C, Portland, OR 97230 | 2007-02-26 |
1295811180 | Parkrose Family Dentistry, P.C. | Dentist | 3620 Ne 122nd Ave, Portland, OR 97230-1365 | 2006-10-31 |
1104901040 | Thomas Thanh Tieu | Dentist | 3620 Ne 122nd Ave, Portland, OR 97230-1365 | 2006-10-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932687233 | Timisha K Wilson | Social Worker | 12505 Ne Halsey St, Portland, OR 97230 | 2018-07-30 |
1356828768 | Sally Gail Logan | Pharmacist | 5725 Ne 138th Avenue, Portland, OR 97230 | 2018-07-27 |
1063937951 | Marley Elizabeth Small | Counselor | 1507 Ne 122nd Ave., Portland, OR 97230 | 2017-08-11 |
1447771316 | Shadab Nasreen Aijazi | Pathology | 5220 Ne 122nd Avenue, Portland, OR 97230 | 2017-06-30 |
1104378199 | Derek Andrus | Pharmacist | 5717 Nw 138th, Portland, OR 97230 | 2016-10-26 |
1164972675 | Rachael Anderson | Adult Companion | 423 Ne 160th Ave #11, Portland, OR 97230 | 2016-10-07 |
1750837597 | Providence Elderplace | Assisted Living Facility | 16430 Ne Hoyt St, Portland, OR 97230 | 2016-08-31 |
1649622473 | Sara Mcgroarty | Counselor | 17710 Ne Halsey Street, Portland, OR 97230 | 2016-07-05 |
1346699949 | Steven D Stanton | Counselor | 1022 Ne 181st Ave, C1, Portland, OR 97230 | 2016-06-06 |
1215390091 | The Wallace Medical Concern | Clinic/Center | 18139 Ne Couch Street, Portland, OR 97230 | 2016-03-30 |
Find all providers in zip 97230 |
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.