Namita Avarsekar
Individual provider Active NPI Pediatric Physical Therapist · Gresham, OR
NPI 1013489608 · NPPES record last updated Dec 20, 2018
Key facts
- NPI
- 1013489608
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Physical Therapist 2251P0200X
- Practice address
- 304 NE Hood Ave
Gresham, OR 97030-7450 - Phone
- (503) 666-1333
- Fax
- (503) 666-2444
- NPI assigned
- Dec 20, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Therapy Services Inc | Pediatrics | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | Yes |
Addresses
Primary practice location
304 NE Hood Ave
Gresham, OR 97030-7450
Mailing address
304 NE Hood Ave
Gresham, OR 97030-7450
Phone (503) 666-1333
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 61421 | Other | OR | LICENSE |
Other providers in Gresham, OR
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- Sharon Aumani
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- Avenue Dental Care
- Avia Treatment Home LLC
- Robert J Azar
- Ilya Babiy
- Jody Louise Babson
All providers in Gresham, OR · Pediatric Physical Therapist in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 20, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.