NPIMap

Organization Active NPI

CH Physical Therapy

  • Physical Medicine & Rehabilitation Physician
  • Portland, OR
National Provider Identifier
1033149281
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
CH PHYSICAL THERAPY
Practice address
914 NW 13TH Ave
Portland, OR 97209-3039
Phone
(971) 244-9000
NPI assigned
Jul 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Colin Hoobler
Title
PT
Phone
(971) 244-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

914 NW 13TH Ave
Portland, OR 97209-3039

Mailing address

PO Box 42510
Portland, OR 97242-0510
Phone (503) 963-1294

Other identifiers 1

IdentifierTypeStateIssuer
840342000OtherBLUE CROSS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1033149281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 42510",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972420510",
            "telephone_number": "503-963-1294",
            "fax_number": "503-230-1541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 NW 13TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972093039",
            "telephone_number": "971-244-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CH PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "HOOBLER",
        "authorized_official_first_name": "COLIN",
        "authorized_official_title_or_position": "PT",
        "authorized_official_telephone_number": "971-244-6000"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "840342000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jun 23, 2008; 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.