Active Recovery TMS PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

ACTIVE RECOVERY TMS PLLC

Practice address

11850 SW 67TH Ave Ste 130
Tigard, OR 97223-8963

Phone

(503) 819-6585

NPI assigned

Feb 24, 2025

Last updated

Feb 24, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amy Dawn Moore

Title

Contracting Partner

Phone

(038) 196-5855

Specialties & licenses 1

Addresses

Tax ID family

Active Recovery TMS PLLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• Active Recovery TMS PLLC

  • Psychiatry Physician
  • Portland, OR
  • NPI 1104631811
  NPD tax ID
• Active Recovery TMS PLLC

  • Psychiatry Physician
  • Salem, OR
  • NPI 1316752033
  NPD tax ID
• Active Recovery TMS PLLC

  • Psychiatry Physician
  • Kirkland, WA
  • NPI 1700691425
  NPD tax ID
• Active Recovery TMS PLLC

  • Psychiatry Physician
  • Vancouver, WA
  • NPI 1922813641
  NPD tax ID

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

{
    "created_epoch": "1740355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740355200000",
    "number": "1013713759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11850 SW 67TH AVE STE 105",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238963",
            "telephone_number": "503-819-6585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11850 SW 67TH AVE STE 130",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238963",
            "telephone_number": "503-819-6585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE RECOVERY TMS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-24",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-23",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "CONTRACTING PARTNER",
        "authorized_official_telephone_number": "038-196-5855"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Accent Network
• Accident Care Chiropractic and Massage of Tigard
• Accident Medical Centers, LLC
• Yandeira Antonia Acosta
• Active Pain Relief
• Heather Leann Adair, PA-C
• Michele Nicolette Adamcak, D.O.
• Standley Christopher Adamek, DO
• Julia Adams-Opperman
• Katherine Adams, PSYD

• Psychiatry Physician in Tigard, OR
• Providers in Tigard, OR by specialty
• Psychiatry Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; 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.