E3 Physio LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

E3 PHYSIO LLC

Practice address

1715 NW Lovejoy St
Portland, OR 97209-2322

Phone

(805) 708-2802

NPI assigned

Mar 6, 2024

Organization subpart

No

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

Authorized official

Name

Annalise Dusell, PTNPI 1386970887

Title

Owner

Phone

(805) 708-2802

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Annalise D Dusell, PT, DPT

  • Physical Therapist
  • Mill Creek, WA
  • NPI 1386970887
  NPD Authorized official

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

{
    "created_epoch": "1709683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709683200000",
    "number": "1114784071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 NW UPTOWN TER APT 1B",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972105556",
            "telephone_number": "805-708-2802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 NW LOVEJOY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972092322",
            "telephone_number": "805-708-2802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E3 PHYSIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-06",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-05",
        "status": "A",
        "authorized_official_last_name": "DUSELL",
        "authorized_official_first_name": "ANNALISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-708-2802",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diandra Dzib
• Harper Elizabeth Dziedzic
• Joseph Dzierzawiec
• Amber Dzitko
• Kelly Odell Dzon, MSPT
• Each Peach Family Wellness
• Brenda Eads
• Michael Andre Eads
• Jessica Dawn Eagan, MSW, MS
• Eagle Healthcare, Inc

• 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 Mar 6, 2024; 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.