NPIMap

Organization Active NPI

Quantum Therapy PC

  • Physical Therapy Clinic/Center
  • Beaverton, OR
National Provider Identifier
1134316268
Registry record updated Aug 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
5984 Issued in OR
Legal business name
QUANTUM THERAPY PC
Practice address
4465 SW 109TH Ave
Suite D
Beaverton, OR 97005-3024
Phone
(503) 602-9197
NPI assigned
Oct 3, 2007
Last updated
Aug 31, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2009

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

Authorized official

Name
Julie Merkl, PTNPI 1194733840
Title
Owner
Phone
(503) 602-9197

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 5984 OR Primary

Addresses

Primary practice location

4465 SW 109TH Ave
Suite D
Beaverton, OR 97005-3024

Mailing address

19045 SW Madeline St
Beaverton, OR 97007-3004
Phone (503) 602-9197

National Provider Directory

National Provider Directory

Locations

4465 SW 109th Ave
Ste D
Beaverton, OR 97005
Phone (503) 602-9197

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251676800000",
    "number": "1134316268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19045 SW MADELINE ST",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970073004",
            "telephone_number": "503-602-9197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4465 SW 109TH AVE",
            "address_2": "SUITE D",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970053024",
            "telephone_number": "503-602-9197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUANTUM THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-03",
        "last_updated": "2009-08-31",
        "status": "A",
        "authorized_official_last_name": "MERKL",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-602-9197",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "OR",
            "license": "5984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2009; 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.