Active NPI
Robert Lowell Thomas Jr., PT
- Geriatric Physical Therapist
- Wilsonville, OR
National Provider Identifier
1134389331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Physical Therapist
- Practice address
- 25117 SW Parkway Ave
Suite D
Wilsonville, OR 97070-9697 - Phone
- (503) 570-3665
- Fax
- (877) 257-2088
- NPI assigned
- Jun 11, 2008
- Last updated
- Dec 20, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | NU | Primary |
Addresses
Primary practice location
25117 SW Parkway Ave
Suite D
Wilsonville, OR 97070-9697
Mailing address
17725 NW Gilbert LN
Portland, OR 97229-8536
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324339200000",
"number": "1134389331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17725 NW GILBERT LN",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972298536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25117 SW PARKWAY AVE",
"address_2": "SUITE D",
"city": "WILSONVILLE",
"state": "OR",
"postal_code": "970709697",
"telephone_number": "503-570-3665",
"fax_number": "877-257-2088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "ROBERT",
"middle_name": "LOWELL",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-11",
"last_updated": "2011-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilsonville, OR
- Therapeutic Associates Inc (TAI - Wilsonville Physical Therapy)
- Theresa Crumpton Counseling Service, LLC
- Shannon Murphy Thibodeau, DDS
- Ashley Jean Thomas, DOULA
- Nicole Elizabeth Thomas, PHARM.D.
- Launie Thompson
- Lindsay Thrasher-Polizzi, LMT
- Thrifty Payless Inc (Rite Aid Pharmacy 05335)
- Veronica Tiburcio-Espinoza, PA-C
- Town Center Dental Care Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.