Active NPI
Cedar Levine
- Physical Therapist
- Hillsboro, OR
National Provider Identifier
1053009506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 60767
- Practice address
- 9620 NE Tanasbourne Dr Ste 300
Hillsboro, OR 97124-7844 - Phone
- (866) 839-6979
- NPI assigned
- Apr 24, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 60767 | OR | Primary |
Addresses
Primary practice location
9620 NE Tanasbourne Dr Ste 300
Hillsboro, OR 97124-7844
Mailing address
8325 N Newman Ave
Portland, OR 97203-3545
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682294400000",
"number": "1053009506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8325 N NEWMAN AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972033545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9620 NE TANASBOURNE DR STE 300",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971247844",
"telephone_number": "866-839-6979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVINE",
"first_name": "CEDAR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-04-24",
"last_updated": "2023-04-24",
"certification_date": "2023-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "60767",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hillsboro, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.