Active NPI
Sound Body LLC
- Physical Therapy Clinic/Center
- Portland, OR
National Provider Identifier
1063802841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 261QP2000X
- Legal business name
- SOUND BODY LLC
- Practice address
- 2240 N Interstate Ave
Suite 280
Portland, OR 97227-1769 - Phone
- (971) 279-4268
- Fax
- (971) 223-7122
- NPI assigned
- Jan 30, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Katherine Lyttle, PT
- Title
- Owner
- Phone
- (971) 279-4268
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 261QP2000X | OR | Primary |
Addresses
Primary practice location
2240 N Interstate Ave
Suite 280
Portland, OR 97227-1769
Mailing address
2240 N Interstate Ave
Suite 280
Portland, OR 97227-1769
Phone (971) 279-4268
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2240 N Interstate Ave
Ste 280
Portland, OR 97227
Phone (971) 279-4268
Practitioners & affiliated clinicians
Practitioners 6
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.
-
- Physical Therapist
- Lake Oswego, OR
- NPI 1588392849
-
- Physical Therapist
- Portland, OR
- NPI 1992935209
-
- Physical Therapist
- Portland, OR
- NPI 1134289556
-
- Physical Therapist
- Portland, OR
- NPI 1487213385
-
- Physical Therapist
- Hood River, OR
- NPI 1154509255
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422576000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1422576000000",
"number": "1063802841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2240 N INTERSTATE AVE",
"address_2": "SUITE 280",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972271769",
"telephone_number": "971-279-4268",
"fax_number": "971-223-7122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2240 N INTERSTATE AVE",
"address_2": "SUITE 280",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972271769",
"telephone_number": "971-279-4268",
"fax_number": "971-223-7122"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUND BODY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-01-30",
"last_updated": "2015-01-30",
"status": "A",
"authorized_official_last_name": "LYTTLE",
"authorized_official_first_name": "KATHERINE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "971-279-4268",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "OR",
"license": "261QP2000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
- Lori Horan Soule, N.D. L.AC.
- Samuel Dodge Soule Jr.
- Teresa Soule
- Denise Carol Soulliere, CRNA
- Soulstice LLC
- Sound Oxygen Service LLC (AdaptHealth)
- Sound Pain Alliance (Black Stone Health)
- Courtney Sound, MSW, CSWA
- Source Integrative Medicine LLC
- Sourcing Vitality, Inc. (The North Portland Wellness Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2015; 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.