Oregon Mobile Rehab LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

06378 Issued in OR

Legal business name

OREGON MOBILE REHAB LLC

Practice address

14445 SE Mountain Ridge Ave
Happy Valley, OR 97086-4042

Phone

(503) 891-4586

NPI assigned

Nov 6, 2013

Organization subpart

No

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

Authorized official

Name

Jamelle King, PT, DPT

Title

Physical Therapist

Phone

(503) 891-4586

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1383696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386633600000",
    "number": "1134558505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14445 SE MOUNTAIN RIDGE AVE",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970864042",
            "telephone_number": "503-891-4586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14445 SE MOUNTAIN RIDGE AVE",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970864042",
            "telephone_number": "503-891-4586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OREGON MOBILE REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-06",
        "last_updated": "2013-12-10",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "JAMELLE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "503-891-4586",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "06378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NW Spine & Health
• Nzeribe Arthur Nwokoma, RPH
• Rui O'Reilly, MASSAGE THERAPIST
• Tetyana O Odarich, MD
• Christopher Nairobi Oden-Orr
• Oregon Pediatrics - Happy Valley, PC
• Elizabeth D. Orth, D.O.
• Samantha Osborne
• Kaneah Owen, PT
• Pacific Eye Group, PC

• Physical Therapist in Happy Valley, OR
• Providers in Happy Valley, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2013; 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.