Organization Active NPI

Stayunbroken, LLC

  • Physical Therapist
  • Portland, OR
National Provider Identifier
1184319386
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
STAYUNBROKEN, LLC
Practice address
2204 NW Roosevelt
Portland, OR 97210-2306
Phone
(805) 660-1995
Fax
(503) 286-7939
NPI assigned
Apr 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2023

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

Authorized official

Name
Luke Hartmann, DPTNPI 1851608426
Title
Owner
Phone
(805) 660-1996

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

2204 NW Roosevelt
Portland, OR 97210-2306

Mailing address

2204 NW Roosevelt
Portland, OR 97210-2306
Phone (805) 660-1995

National Provider Directory

National Provider Directory

Locations

2204 NW Roosevelt St
Portland, OR 97210
Phone (805) 660-1995

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": "1680652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681171200000",
    "number": "1184319386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 NW ROOSEVELT",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972102306",
            "telephone_number": "805-660-1995",
            "fax_number": "503-286-7939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 NW ROOSEVELT",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972102306",
            "telephone_number": "805-660-1995",
            "fax_number": "503-286-7939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAYUNBROKEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-05",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A",
        "authorized_official_last_name": "HARTMANN",
        "authorized_official_first_name": "LUKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-660-1996",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "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 Apr 11, 2023; 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.