Stride Strong Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

STRIDE STRONG PHYSICAL THERAPY LLC

Practice address

12849 NW Cornell Rd
Portland, OR 97229-5813

Phone

(503) 208-6278

Fax

(503) 208-6276

NPI assigned

Apr 27, 2012

Last updated

Aug 17, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Scott Holland

Title

Owner

Phone

(503) 208-6278

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 10

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.

• David Brockman, PT, DPT

  • Physical Therapist
  • Gresham, OR
  • NPI 1295441517
  Medicare reassignment NPD
• Anuja Sharadchandra Chitale, PHYSICAL THERAPIST

  • Physical Therapist
  • Hillsboro, OR
  • NPI 1336807221
  Medicare reassignment NPD
• Alysia Harrington Crocker Cullen, PT, DPT

  • Physical Therapist
  • Portland, OR
  • NPI 1568012326
  Medicare reassignment NPD
• Bowen Luan, PT

  • Physical Therapist
  • Portland, OR
  • NPI 1295337681
  Medicare reassignment NPD
• Bethanie Bayha, PT

  • Physical Therapist
  • Seattle, WA
  • NPI 1053365569

  OR

  Medicare reassignment NPD
• Jenna Lee Belser, PT, DPT, ATC

  • Physical Therapist
  • Tampa, FL
  • NPI 1134882772

  OR

  Medicare reassignment NPD
• Brooke Tate, PT

  • Orthopedic Physical Therapist
  • Tampa, FL
  • NPI 1942973615

  OR

  Medicare reassignment NPD
• Melissa Cox, PT

  • Physical Therapist
  • Beaverton, OR
  • NPI 1225344468
  NPD
• Alanna Margaret Fennimore

  • Physical Therapist
  • Indianapolis, IN
  • NPI 1932756541
  NPD
• Jamie Ann Holloway

  • Massage Therapist
  • Hillsboro, OR
  • NPI 1366954539
  NPD (past)

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

{
    "created_epoch": "1335484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660694400000",
    "number": "1215295274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 NE GRIFFIN OAKS ST STE 100",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971242374",
            "telephone_number": "503-208-6278",
            "fax_number": "503-208-6276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12849 NW CORNELL RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972295813",
            "telephone_number": "503-208-6278",
            "fax_number": "503-208-6276"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4815 NE Fremont St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972131726",
            "country_code": "US",
            "telephone_number": "971-361-8738",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2350 NE Griffin Oaks St #100",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "OR",
            "postal_code": "971249712",
            "country_code": "US",
            "telephone_number": "503-208-6276",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8552 SW Apple Way",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972251772",
            "country_code": "US",
            "telephone_number": "503-210-1281",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3180 SW Cedar Hills Blvd Ste 115",
            "address_purpose": "LOCATION",
            "city": "Beaverton",
            "state": "OR",
            "postal_code": "970051397",
            "country_code": "US",
            "telephone_number": "503-798-9500",
            "fax_number": "503-798-9514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STRIDE STRONG PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-27",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A",
        "authorized_official_last_name": "HOLLAND",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-208-6278"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonya Carmen Strickland, LCSW
• Valerie Strickland
• Casey B Strickler, PA-C
• Valancy LQ Stricklin, RN
• Autumn O Strickling
• Zsolt Glenn Strieker
• Hadley Kaye Stringer
• Simon Alexander Stringer
• Renee Stringham, MD
• Keziah Striplin

• Physical Therapist in Portland, OR
• Providers in Portland, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.