New Leaf Physical and Massage Therapy, LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

NEW LEAF PHYSICAL AND MASSAGE THERAPY, LLC

Practice address

4050 NE Broadway St
Portland, OR 97232-1828

Phone

(503) 318-0654

NPI assigned

May 21, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mary Gramling

Title

President

Phone

(503) 318-0654

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ann Marie Southey Butler, LMT

  • Massage Therapist
  • Portland, OR
  • NPI 1982139648
  NPD (past)
• Chelsea Ana French, LMT

  • Massage Therapist
  • Portland, OR
  • NPI 1235424441
  NPD (past)
• Elsa Bess Mitchell, DPT

  • Physical Therapist
  • Portland, OR
  • NPI 1568773380
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1274400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276646400000",
    "number": "1003135658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2734 SE 47TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972061547",
            "telephone_number": "503-657-8663",
            "fax_number": "503-723-3180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 NE BROADWAY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972321828",
            "telephone_number": "503-318-0654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LEAF PHYSICAL AND MASSAGE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-21",
        "last_updated": "2010-06-16",
        "status": "A",
        "authorized_official_last_name": "GRAMLING",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-318-0654"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Dawn Care LLC
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• New Focus Psychological Services, LLC
• New Heights Integrative Therapy Inc
• New Heights Integrative Therapy, Inc.
• New Leaves Clinic LLC
• New Life Evangelical Ministries
• New Life Medical Consultants
• New Living Hope Inc
• New Living Hope Inc

• Physical Medicine & Rehabilitation Physician in Portland, OR
• Providers in Portland, OR by specialty
• Physical Medicine & Rehabilitation Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.