Organization Active NPI

Journey to Health Physical Therapy and Wellness Clinic, LLC

  • Physical Therapist
  • Portland, OR
National Provider Identifier
1124532791
Registry record updated Nov 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
62427 Issued in OR
Legal business name
JOURNEY TO HEALTH PHYSICAL THERAPY AND WELLNESS CLINIC, LLC
Practice address
15660 NW Athens Dr Apt 328
Portland, OR 97229-9299
Phone
(503) 516-5114
NPI assigned
Nov 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2017

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

Authorized official

Name
Dr. Angela Audreen Grenier, PT, DPT
Title
Physical Therapist
Phone
(503) 809-2288

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 62427 OR Primary

Addresses

Primary practice location

15660 NW Athens Dr Apt 328
Portland, OR 97229-9299

Mailing address

15660 NW Athens Dr Apt 328
Portland, OR 97229-9299
Phone (503) 516-5114

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1511049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511049600000",
    "number": "1124532791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15660 NW ATHENS DR APT 328",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972299299",
            "telephone_number": "503-516-5114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15660 NW ATHENS DR APT 328",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972299299",
            "telephone_number": "503-516-5114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOURNEY TO HEALTH PHYSICAL THERAPY AND WELLNESS CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-19",
        "last_updated": "2017-11-19",
        "status": "A",
        "authorized_official_last_name": "GRENIER",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "AUDREEN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "503-809-2288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "62427",
            "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 Nov 19, 2017; 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.