ULTRA PHYSICAL THERAPY & HAND CENTER, LLC (NPI# 1669977898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669977898 |
| Entity Type | Organization |
| Organization Name | ULTRA PHYSICAL THERAPY & HAND CENTER, LLC |
| Practice Address |
3905 Sw 117th Ave Beaverton OR 97005-8905 |
| Mailing Address |
3215 Solstice Ln Newberg OR 97132-2867 |
| Practice Telephone | 6199622159 |
| Mailing Telephone | 5038030264 |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2018-05-09 |
| Authorized Official Name | KIM STEWART (CREDENTIALING MGR) |
| Authorized Official Telephone | 5036626403 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
61980 | OR | Ambulatory Health Care Facilities |
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Street Address |
3905 SW 117TH AVE |
| City | BEAVERTON |
| State | OR |
| Zip Code | 97005-8905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689933681 | Sinead Margaret Clancy | Physical Therapist | 3905 Sw 117th Ave, Beaverton, OR 97005-8905 | 2012-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945053 | Krista Lowe Schimmelbusch | Student in an Organized Health Care Education/Training Program | 12730 Sw 3rd St., Beaverton, OR 97005 | 2020-06-05 |
| 1346882578 | Mireya Elissa Nunez I | Counselor | 12665 Sw Center Street, Suite 100, Beaverton, OR 97005 | 2019-10-09 |
| 1548816879 | Logan James Patzlaff | Behavior Technician | 6200 Sw Artic Drive Beaverton, Or 97005, Beaverton, OR 97005 | 2019-08-13 |
| 1528521424 | Alex Taylor Foerman | Behavior Technician | 6200 Sw Arctic Drive Beaverton, Or 97005, Beaverton, OR 97005 | 2019-04-09 |
| 1285193003 | Hazelnut Dental LLC | Clinic/Center | 10773 Sw Beaverton-hillsdale Hwy, Ste B, Beaverton, OR 97005 | 2019-03-19 |
| 1992286348 | Kathryn Wallner | Counselor | 14205 Sw Farmington Road, Suite 160, Beaverton, OR 97005 | 2018-08-23 |
| 1699265058 | Meaghan Mikulic | Social Worker | 14355 Sw Allen Blvd Suite 150, Beaverton, OR 97005 | 2018-05-11 |
| 1629568936 | Aimee J Nelson | Massage Therapist | 10700 Sw Beaverton Hillsdale Hwy Ste 465, Beaverton, OR 97005 | 2018-05-11 |
| 1093221780 | Ember Dahl | Massage Therapist | 12655 Sw Center St Ste 530, Beaverton, OR 97005 | 2017-12-18 |
| 1033667456 | Andre Vo | Pharmacist | 2575 Sw Walker Rd, Beaverton, OR 97005 | 2016-09-14 |
| Find all providers in zip 97005 | ||||
| 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 |
| 1649534793 | Sportscare Physical Therapy @ Cornell, LLC | Clinic/Center | 15390 Nw Cornell Rd., Suite 230, Beaverton, OR 97006 | 2012-07-03 |
| 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 |
| 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.