Laurelhurst Physical Therapy Clinic

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

LAURELHURST PHYSICAL THERAPY CLINIC

Practice address

9828 E Burnside St
Suite 250
Portland, OR 97216-2354

Phone

(503) 254-3424

Fax

(503) 254-3635

NPI assigned

Feb 15, 2007

Last updated

May 12, 2014By 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

Suzanne M. Trebnick, P.T.NPI 1417954561

Title

Co-Owner

Phone

(503) 254-3424

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Suzanne M Trebnick, P.T.

  • Physical Therapist
  • Portland, OR
  • NPI 1417954561
  Authorized official Same address or phone

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399852800000",
    "number": "1033252234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9828 E BURNSIDE ST",
            "address_2": "SUITE 250",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162354",
            "telephone_number": "503-254-3424",
            "fax_number": "503-254-3635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9828 E BURNSIDE ST",
            "address_2": "SUITE 250",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162354",
            "telephone_number": "503-254-3424",
            "fax_number": "503-254-3635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURELHURST PHYSICAL THERAPY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2014-05-12",
        "status": "A",
        "authorized_official_last_name": "TREBNICK",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "503-254-3424",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauranell Scarfo, LCSW (A Counseling Partnership)
• Laurel Marshall Counseling
• Laurelhurst Dentistry LLC
• Laurelhurst Family Clinic
• Laurelhurst Operations, LLC
• Laurelhurst Physical Therapy Clinic
• Laurelhurst SNF Operations LLC
• Laurelhurst Village LLC
• Laurelhurst Women's Clinic
• Laurelwood Dental LLC

• Specialist in Portland, OR
• Providers in Portland, OR by specialty
• Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2014; 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.