SPORTSCARE PHYSICAL THERAPY @ CORNELL, LLC (NPI# 1649534793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649534793 |
| Entity Type | Organization |
| Organization Name | SPORTSCARE PHYSICAL THERAPY @ CORNELL, LLC |
| Practice Address |
15390 Nw Cornell Rd. Suite 230 Beaverton OR 97006 |
| Practice Telephone | 5032579881 |
| Enumeration Date | 2012-07-03 |
| Last Update Date | 2012-07-03 |
| Authorized Official Name | JOSEPH JOHN FRICKE (MANAGING PARTNER) |
| Authorized Official Telephone | 5032579881 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
1660 | OR | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 072538 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | SPORTSCARE PHYSICAL THERAPY @ CORNELL, LLC | 16100 Nw Cornell Rd Ste 110, Beaverton, OR 97006 |
| Street Address |
15390 NW CORNELL RD. SUITE 230 |
| City | BEAVERTON |
| State | OR |
| Zip Code | 97006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184238727 | Hayden Alexander Meriwether | Dentist | 17895 Ne Evergreen Pkwy, #100, Beaverton, OR 97006 | 2020-09-01 |
| 1336781202 | Courtney Rae Murata | Behavior Technician | 337 Nw 215th Terrace, Apt, 106, Hillsboro, OR 97006 | 2019-10-11 |
| 1992355986 | Pamela J. Viado | Technician | 1220 Nw Weybridge Way, Beaverton, OR 97006 | 2019-09-12 |
| 1477115384 | One Change Group | Community/Behavioral Health | 2499 Nw 206th Ave, Apt A233, Hillsboro, OR 97006 | 2019-07-01 |
| 1649731332 | Regina C. Rizo | Social Worker | 1925 Amberglen Parkway, #3a-131, Hillsboro, OR 97006 | 2019-03-26 |
| 1043731912 | Elizabeth A Cintron | Occupational Therapy Assistant | 1189 Ne 89th Ave Apt 305, Hillsboro, OR 97006 | 2017-06-30 |
| 1265979173 | Lindsay Jensen | Massage Therapist | 15220 Nw Greenbrier Pkwy Ste 260, Beaverton, OR 97006 | 2017-01-30 |
| 1851835722 | Changepoint, Inc | Clinic/Center | 1700 Nw 167th Place, Suite 240, Beaverton, OR 97006 | 2016-12-13 |
| 1689126302 | Occupational Health Centers of The Southwest, P.a. (tx) | Clinic/Center | 2225 Nw Towncenter Drive, Beaverton, OR 97006 | 2016-10-28 |
| 1558717413 | Dillon Duvall | Physical Therapist | 16895 Nw Cornell Rd, #110, Beaverton, OR 97006 | 2016-05-10 |
| Find all providers in zip 97006 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881292639 | Blueprint Sports Therapy | Clinic/Center | 17440 Sw Reusser Ct, Beaverton, OR 97007-8772 | 2020-10-14 |
| 1619591815 | Cyti LLC | Clinic/Center | 11350 Sw Canyon Rd # 202, Beaverton, OR 97005-2234 | 2020-06-03 |
| 1972120541 | Cyti Physical Therapy LLC | Clinic/Center | 11350 Sw Canyon Rd # 202, Beaverton, OR 97005-2234 | 2020-06-30 |
| 1699318261 | Integrate Physical Therapy, Bodywork and Wellness | Clinic/Center | 1975 Nw 167th Pl Ste 100, Beaverton, OR 97006-4908 | 2019-10-25 |
| 1669977898 | Ultra Physical Therapy & Hand Center, LLC | Clinic/Center | 3905 Sw 117th Ave, Beaverton, OR 97005-8905 | 2018-03-29 |
| 1053826818 | A&h Professional Services LLC | Clinic/Center | 6775 Sw 111th Ave Ste 205, Beaverton, OR 97008-5379 | 2017-12-02 |
| 1255887220 | Inspire Physical Therapy | Clinic/Center | 14780 Sw Osprey Dr, Suite 270, Beaverton, OR 97007-8028 | 2016-08-30 |
| 1881040731 | Deborah Thrall Pt, LLC | Clinic/Center | 2077 Nw Town Center Dr, Beaverton, OR 97006-8938 | 2016-05-10 |
| 1902249022 | Rockwood Orthopaedic & Sports Physical Therapy Clinic, PC | Clinic/Center | 3800 Sw Cedar Hills Blvd, Suite 280a, Beaverton, OR 97005-2035 | 2013-04-08 |
| 1134316268 | Quantum Therapy PC | Clinic/Center | 4465 Sw 109th Ave, Suite D, Beaverton, OR 97005-3024 | 2007-10-03 |
| Find all providers in BEAVERTON | ||||
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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.