FUNCTION THERAPEUTICS LLC (NPI# 1881077204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881077204 |
| Entity Type | Organization |
| Organization Name | FUNCTION THERAPEUTICS LLC |
| Practice Address |
7925 Se Stark St Portland OR 97215-2341 |
| Mailing Address |
Po Box 86745 Portland OR 97286 |
| Practice Telephone | 5039229895 |
| Mailing Telephone | 5039229895 |
| Enumeration Date | 2015-07-02 |
| Last Update Date | 2017-10-27 |
| Authorized Official Name | HILLARY INGRID KIBGIS (OWNER) |
| Authorized Official Telephone | 5039229895 |
| Authorized Official Credential | OTR/L |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
1069622 | OR | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FUNCTION THERAPEUTICS LLC | 1626 N Prospect Ave Apt 1901, Milwaukee, WI 53202-2437 |
| Street Address |
7925 SE STARK ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97215-2341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396861456 | Mia M Neuse | Acupuncturist | 7925 Se Stark St, Portland, OR 97215-2341 | 2007-03-21 |
| 1700200235 | Julie Koroch Acupuncture LLC | Clinic/Center | 7925 Se Stark St, Portland, OR 97215-2341 | 2014-02-04 |
| 1396189916 | Julie Hawkins Koroch | Acupuncturist | 7925 Se Stark St, Portland, OR 97215-2341 | 2013-04-25 |
| 1699031872 | Mia Neuse, L.ac., LLC | Acupuncturist | 7925 Se Stark St, Portland, OR 97215-2341 | 2012-04-02 |
| 1144425356 | Hillary Ingrid Kibgis | Occupational Therapist | 7925 Se Stark St, Portland, OR 97215-2341 | 2007-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952926339 | Lisa Silverman | Counselor | 1835 Se 50th Avenue, Portland, OR 97215 | 2020-06-11 |
| 1003381195 | Darcie Leigh Juarez | Naturopath | 6118 Se Belmont St Ste 407, Portland, OR 97215 | 2018-10-04 |
| 1740710581 | Riley W Protz | Pharmacist | 5544 E Bursnide, Portland, OR 97215 | 2017-06-14 |
| 1114459088 | Genevieve Kathleen Shields | Registered Nurse | 5451 Se Belmont, Suite 100, Portland, OR 97215 | 2017-03-30 |
| 1205282514 | Aiyana Lucas | Social Worker | 4531 Se Belmont St Ste 310b, Portland, OR 97215 | 2016-05-05 |
| 1508223918 | Catherine Ann Chapman | Counselor | 422 Se 79th Street, Suite 202, Portland, OR 97215 | 2016-01-15 |
| 1518338854 | Cody Begdorian | Acupuncturist | 4220 Se Stark, Portland, OR 97215 | 2015-10-13 |
| 1588040653 | Corinne Leblanc | Acupuncturist | 2305 Se 50th Ave., Suite 200, Portland, OR 97215 | 2015-07-30 |
| 1942688544 | Casey Lynne Peters | Occupational Therapist | 6040 Se Belmont S, Portland, OR 97215 | 2015-05-14 |
| 1457743783 | David Alexander Gambill | Counselor | 8041 E Burnside St., Portland, OR 97215 | 2015-02-24 |
| Find all providers in zip 97215 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942850854 | Saco Bay Orthopaedic and Sports Physical Therapy, Inc. | Clinic/Center | 1274 Congress St Fl 3, Portland, ME 04102-2111 | 2019-09-13 |
| 1174857577 | Creative Therapy Connections, LLC | Clinic/Center | 5232 N Interstate Avenue, Portland, OR 97217 | 2009-10-01 |
| 1043360159 | Midwest Healthstrategies, Inc. | Clinic/Center | 1756 W 100 S, Portland, IN 47371-8204 | 2007-01-11 |
| 1144788209 | Saco Bay Orthopaedic and Sports Physical Therapy, Inc | Clinic/Center | 1601 Congress St, Portland, ME 04102-2102 | 2019-03-07 |
| 1801286117 | Portland Wellness Care | Clinic/Center | 4160 Ne Sandy Blvd, Suite 1100, Portland, OR 97212-5336 | 2015-01-26 |
| 1932131364 | Rehabilitation Medicine Associates, PC | Clinic/Center | 1040 Nw 22nd Ave, Suite 320, Portland, OR 97210-3057 | 2006-07-07 |
| 1144282310 | Pacific Rehabilitation & Sports Medicine Inc | Clinic/Center | 2330 Nw Flanders St, Ste 101, Portland, OR 97210-3442 | 2006-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487280855 | Rehabcare Group East, LLC | Clinic/Center | 7320 Sw Hunziker Rd Ste 205, Tigard, OR 97223-2301 | 2020-03-18 |
| 1598130965 | Sarah Mcdonnell LLC | Clinic/Center | 512 Cascade Ave, Suite 100, Hood River, OR 97031-2126 | 2015-12-10 |
| 1043601602 | Infinity Rehab | Clinic/Center | 8750 Se 155th Ave, 18, Happy Valley, OR 97086-5533 | 2015-02-17 |
| 1922354703 | Oregon Housing and Associated Services, Inc. | Clinic/Center | 2582 19th St Se, Salem, OR 97302-1501 | 2012-07-30 |
| 1497979785 | Southwest Physical Therapy | Clinic/Center | 29286 Ellensburg, Gold Beach, OR 97444 | 2007-04-11 |
| 1568685766 | Southwest Physical Therapy LLC | Clinic/Center | 279 N Central St, Coquille, OR 97423-1241 | 2007-04-10 |
| 1154383321 | Pacific Rehabilitation & Sports Medicine Inc | Clinic/Center | 215 S Bridge St, Sheridan, OR 97378-1807 | 2006-04-04 |
| 1043272214 | Select Physical Therapy Orthopedic Services Inc | Clinic/Center | 24947 Highway 126, Suite D, Veneta, OR 97487 | 2006-04-04 |
| 1821096033 | Therapeutic Laser Center | Clinic/Center | 115 W Stewart Ave, Medford, OR 97501-3607 | 2005-07-12 |
| 1255843355 | Physical Therapy Northwest Limited Partnership | Clinic/Center | 685 36th Ave Ne, Salem, OR 97301-4741 | 2017-10-30 |
| Find all providers with the same taxonomy | ||||
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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.