Laurelhurst Physical Therapy Clinic

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

LAURELHURST PHYSICAL THERAPY CLINIC

Practice address

9828 E Burnside St Ste 250
Portland, OR 97216-2365

Phone

(503) 254-3424

Fax

(503) 254-3635

NPI assigned

Apr 24, 2014

Organization subpart

No

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

Authorized official

Name

Suzanne Trebnick, PT

Title

Co-Owner

Phone

(503) 254-3424

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brenda Jean Lamb, PT

  • Physical Therapist
  • Portland, OR
  • NPI 1609801695
  NPD

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

{
    "created_epoch": "1398297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398297600000",
    "number": "1073933412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9828 E BURNSIDE ST STE 250",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162365",
            "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 STE 250",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162365",
            "telephone_number": "503-254-3424",
            "fax_number": "503-254-3635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURELHURST PHYSICAL THERAPY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-24",
        "last_updated": "2014-04-24",
        "status": "A",
        "authorized_official_last_name": "TREBNICK",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "503-254-3424",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 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
• Lauren Deisenroth Pmhnp-BC LLC

• 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 Apr 24, 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.