Active NPI
Theodora G. Powers, PTA
- Physical Therapy Assistant
- Newberg, OR
National Provider Identifier
1205259884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 08737
- Practice address
- 120 N Everest Rd Ste C
Newberg, OR 97132-2116 - Phone
- (503) 538-8952
- NPI assigned
- Feb 1, 2014
- Last updated
- Feb 1, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 08737 | OR | Primary |
Addresses
Primary practice location
120 N Everest Rd Ste C
Newberg, OR 97132-2116
Mailing address
24600 NE Hummingbird CT
Newberg, OR 97132-1772
Phone (503) 550-2810
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pearls Counseling LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Newberg, OR
- NPI 1013325497
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391212800000",
"number": "1205259884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24600 NE HUMMINGBIRD CT",
"city": "NEWBERG",
"state": "OR",
"postal_code": "971321772",
"telephone_number": "503-550-2810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 N EVEREST RD STE C",
"city": "NEWBERG",
"state": "OR",
"postal_code": "971322116",
"telephone_number": "503-538-8952"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWERS",
"first_name": "THEODORA",
"middle_name": "G.",
"name_prefix": "Ms.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-01",
"last_updated": "2014-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "OR",
"license": "08737",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newberg, OR
- Amanda S Pinzon, PA-C
- Ryan Planck, PA
- Steve Polzel, RN
- Sydney Marie Porter
- Caitlyn Paige Poteet
- Premere Rehab LLC (Infinity Rehab)
- Premier Anesthesia of Oregon PC
- Providence Health & Services (PMG Newberg Internal Medicine)
- Providence Health & Services - Oregon (Providence Medical Group)
- Providence Health & Services - Oregon (PMG Newberg Specialty Medicine)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.