Active NPI
Pro-Step Rehab
- Physical Disabilities Residential Treatment Facility
- Portland, OR
National Provider Identifier
1093143141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Disabilities Residential Treatment Facility
- License
- 316072
- Legal business name
- PRO-STEP REHAB
- Practice address
- 11325 NE Weidler St
Portland, OR 97220-1950 - Phone
- (503) 253-1181
- Fax
- (503) 253-1871
- NPI assigned
- Oct 29, 2013
- Organization subpart
- Yes
- Parent organization
- EXTENDICARE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christine M Van Osdol, OT
- Title
- Facility Rehab Coordinator
- Phone
- (503) 253-1181
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Disabilities Residential Treatment Facility | 320700000X | 316072 | OR | Primary |
Addresses
Primary practice location
11325 NE Weidler St
Portland, OR 97220-1950
Mailing address
11325 NE Weidler St
Portland, OR 97220-1950
Phone (503) 253-1181
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 316072 | Other | OR | OCCUPATIONAL THERAPY LICENSE |
Other names 1
- Care Center East
National Provider Directory
National Provider Directory- Part of
- Belair Nursing Home
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Occupational Therapist
- Portland, OR
- NPI 1467881896
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383004800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1383004800000",
"number": "1093143141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11325 NE WEIDLER ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972201950",
"telephone_number": "503-253-1181",
"fax_number": "503-253-1871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11325 NE WEIDLER ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972201950",
"telephone_number": "503-253-1181",
"fax_number": "503-253-1871"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRO-STEP REHAB",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "EXTENDICARE",
"enumeration_date": "2013-10-29",
"last_updated": "2013-10-29",
"status": "A",
"authorized_official_last_name": "VAN OSDOL",
"authorized_official_first_name": "CHRISTINE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "FACILITY REHAB COORDINATOR",
"authorized_official_telephone_number": "503-253-1181",
"authorized_official_credential": "OT"
},
"taxonomies": [
{
"code": "320700000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Physical Disabilities",
"state": "OR",
"license": "316072",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OCCUPATIONAL THERAPY LICENSE",
"identifier": "316072",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Care Center East",
"code": "5",
"type": "Other Name"
}
]
}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 Oct 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.