Aloha Physical Therapy Clinic
Organization Active NPI Physical Therapist · Aloha, OR
NPI 1104968320 · NPPES record last updated Jun 13, 2008
Key facts
- NPI
- 1104968320
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- ALOHA PHYSICAL THERAPY CLINIC
- Practice address
- 17610 SW Alexander St
Aloha, OR 97006-4411 - Phone
- (503) 642-4555
- Fax
- (503) 591-9877
- NPI assigned
- Feb 13, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Randy D Cadman, PT
- Title
- Owner
- Phone
- (503) 642-4555
Practitioners 1
-
Randy D Cadman, PT
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes |
Addresses
Primary practice location
17610 SW Alexander St
Aloha, OR 97006-4411
Mailing address
17610 SW Alexander St
Aloha, OR 97006-4411
Phone (503) 642-4555
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 262956 | Medicaid | OR |
Other providers in Aloha, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.