Active NPI
Ipa Physio Portland LLC
- Physical Therapy Clinic/Center
- Portland, OR
National Provider Identifier
1063921187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 05926
- Legal business name
- IPA PHYSIO PORTLAND LLC
- Practice address
- 7412 SW Beaverton Hillsdale Hwy Ste 110
Portland, OR 97225-2167 - Phone
- (503) 616-0313
- NPI assigned
- Sep 20, 2017
- 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
- Kristin Foster
- Title
- Office Administrator
- Phone
- (503) 616-0313
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Physical Therapy Clinic/Center | 261QP2000X | 05926 | OR | Primary |
Addresses
Primary practice location
7412 SW Beaverton Hillsdale Hwy Ste 110
Portland, OR 97225-2167
Mailing address
7412 SW Beaverton Hillsdale Hwy Ste 110
Portland, OR 97225-2167
Phone (503) 616-0313
National Provider Directory
National Provider DirectoryLocations
7412 SW Beaverton Hillsdale Hwy
Ste 110
Portland, OR 97225
Phone (503) 616-0313
1820 SW Vermont St
Ste F
Portland, OR 97219
Phone (503) 201-8333
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapy Assistant
- Portland, OR
- NPI 1780031120
-
- Physical Therapist
- Portland, OR
- NPI 1518367978
-
- Physical Therapist
- Portland, OR
- NPI 1396142543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505865600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740009600000",
"number": "1063921187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7412 SW BEAVERTON HILLSDALE HWY STE 110",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972252167",
"telephone_number": "503-616-0313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7412 SW BEAVERTON HILLSDALE HWY STE 110",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972252167",
"telephone_number": "503-616-0313"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IPA PHYSIO PORTLAND LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-09-20",
"last_updated": "2025-02-20",
"certification_date": "2025-02-20",
"status": "A",
"authorized_official_last_name": "FOSTER",
"authorized_official_first_name": "KRISTIN",
"authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
"authorized_official_telephone_number": "503-616-0313"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "OR",
"license": "05926",
"primary": true
}
],
"identifiers": [],
"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 Feb 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.