ROOTS MYOFASCIAL RELEASE LLC (NPI# 1851657480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851657480 |
| Entity Type | Organization |
| Organization Name | ROOTS MYOFASCIAL RELEASE LLC |
| Practice Address |
2442 Se 101st Ave Portland OR 97216-3060 |
| Mailing Address |
2547 Ne 50th Ave Portland OR 97213-2517 |
| Practice Telephone | 5032605397 |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2014-11-18 |
| Authorized Official Name | SARA ULRICH (OWNER/PHYSICAL THERAPIST) |
| Authorized Official Telephone | 5032605397 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
3360 | OR | Ambulatory Health Care Facilities |
| Street Address |
2442 SE 101ST AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97216-3060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508854241 | Shufang Amy Lai | Dentist | 2442 Se 101st Ave, Suite 303, Portland, OR 97216-3060 | 2005-10-06 |
| 1578015970 | Balanced Health Chiropractic, LLC | Clinic/Center | 2442 Se 101st Ave, Suite 205, Portland, OR 97216-3060 | 2016-11-01 |
| 1326405705 | Sarah Reid | Acupuncturist | 2442 Se 101st Ave, Ste 308, Portland, OR 97216-3060 | 2016-01-15 |
| 1518212638 | Curita Family Health Clinic | Clinic/Center | 2442 Se 101st Ave, Suite 104, Portland, OR 97216-3060 | 2012-07-14 |
| 1841545092 | Mountain Lake Wellness LLC | Acupuncturist | 2442 Se 101st Ave, Suite 308, Portland, OR 97216-3060 | 2012-07-13 |
| 1992000277 | Marco Jan Madian | Technician, Other | 2442 Se 101st Ave, Ste 206, Portland, OR 97216-3060 | 2011-01-19 |
| 1902122302 | Tanneke Zoe Olund | Massage Therapist | 2442 Se 101st Ave, Portland, OR 97216 | 2010-04-12 |
| 1922137801 | Lawrence Timothy Sellers | Chiropractor | 2442 Se 101st Ave, Ste 103, Portland, OR 97216 | 2007-03-05 |
| 1700914678 | Dennis Herman Eaton | Physical Therapist | 2442 Se 101st Ave, Suite 307, Portland, OR 97216-3060 | 2007-03-01 |
| 1043366867 | Deborah Y Thomas | Technician, Other | 2442 Se 101st Ave, Suite 206, Portland, OR 97216-3060 | 2007-01-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316468341 | Accident Care Chiropractic and Massage of Salem | Clinic/Center | 2168 Lancaster Dr. Ne, Portland, OR 97216 | 2017-06-29 |
| 1528508520 | Damone Brown | Peer Specialist | 10209 Se Washington St, Suite D, Portland, OR 97216 | 2017-02-24 |
| 1861937237 | Malachai Investments LLC | Clinical Medical Laboratory | 10,000 Se Main St, Ste 360, Portland, OR 97216 | 2016-12-21 |
| 1881136836 | Krista Marie Darnell | Occupational Therapy Assistant | 1475, Se 100th Avenue, Portland, OR 97216 | 2016-11-08 |
| 1821456559 | Sean Kelly | Counselor | 10564 Se Washington Street, Portland, OR 97216 | 2016-02-09 |
| 1174908321 | Phil Bergland | Counselor | 11220 Se Stark St, Suite 6, Portland, OR 97216 | 2015-07-29 |
| 1134507346 | Beth Lopez | Massage Therapist | 5814 Se Stark Street, Portland, OR 97216 | 2015-05-08 |
| 1982081477 | Amelia C Hunt | Counselor | 10564 Se Washinton Street, Portland, OR 97216 | 2015-05-04 |
| 1073907978 | Karen Ta | Emergency Medicine | 10300 Se Main St, Portland, OR 97216 | 2015-03-27 |
| 1265823298 | Laura Catherine Anderson | Occupational Therapist | 1475 Se 100th Avenue, Portland, OR 97216 | 2015-02-12 |
| Find all providers in zip 97216 | ||||
| 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.