Homebody Pelvic Health LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

HOMEBODY PELVIC HEALTH LLC

Practice address

6363 N Concord Ave
Portland, OR 97217-4783

Phone

(802) 318-2502

NPI assigned

Aug 19, 2024

Organization subpart

No

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

Authorized official

Name

Andrea Heelan, DPT

Title

Owner

Phone

(802) 318-2502

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724025600000",
    "number": "1053143966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6363 N CONCORD AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972174783",
            "telephone_number": "802-318-2502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6363 N CONCORD AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972174783",
            "telephone_number": "802-318-2502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMEBODY PELVIC HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A",
        "authorized_official_last_name": "HEELAN",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-318-2502",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Holzmacher
• Cynthia L Homberg, LCSW
• Home Care Medical LLC
• Home Lifecare, Inc.
• Homebody Counseling, LLC
• Homegrown Pediatric Nutrition
• Christina Homer, MD PHD
• Sandy Lynn Homer, LAC, LMT
• Homewatch Caregivers
• Felicia Hennrietta Homewood

• Physical Therapist in Portland, OR
• Providers in Portland, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.