NPIMap

Organization Active NPI

H & P Goodell, Inc.

  • Physical Therapy Clinic/Center
  • Portland, OR
National Provider Identifier
1013908169
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
3705 Issued in OR
Legal business name
H & P GOODELL, INC.
Practice address
4475 SW Scholls Ferry Rd
Suite 258
Portland, OR 97225-1955
Phone
(503) 292-5882
Fax
(503) 292-5899
NPI assigned
Oct 28, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Heather Purdin Goodell, P.T.
Title
President
Phone
(503) 292-5882

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 3705 OR Primary

Addresses

Primary practice location

4475 SW Scholls Ferry Rd
Suite 258
Portland, OR 97225-1955

Mailing address

4475 SW Scholls Ferry Rd
Suite 258
Portland, OR 97225-1955
Phone (503) 292-5882

Other names 1

  • Goodell Physical Therapy & Fitness Training Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051116000485 OR Part B Supplier - Clinic/Group Practice 1153340476 Receives reassigned benefits from 17 practitioners
Practice locations: Portland, OR

National Provider Directory

National Provider Directory

Locations

4475 SW Scholls Ferry Rd
Ste 258
Portland, OR 97225
Phone (503) 292-5882

Practitioners & affiliated clinicians

Practitioners 31

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

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013908169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4475 SW SCHOLLS FERRY RD",
            "address_2": "SUITE 258",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972251955",
            "telephone_number": "503-292-5882",
            "fax_number": "503-292-5899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4475 SW SCHOLLS FERRY RD",
            "address_2": "SUITE 258",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972251955",
            "telephone_number": "503-292-5882",
            "fax_number": "503-292-5899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H & P GOODELL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOODELL",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "PURDIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-292-5882",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "OR",
            "license": "3705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Goodell Physical Therapy & Fitness Training",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.