Columbia County Mobile Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

COLUMBIA COUNTY MOBILE PHYSICAL THERAPY LLC

Practice address

52436 NE 14TH St
Scappoose, OR 97056-3332

Phone

(805) 610-1416

NPI assigned

Mar 14, 2021

Last updated

Mar 9, 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

Dr. Cara M Heinze, DPTNPI 1790117406

Title

Physical Therapist

Phone

(805) 610-1416

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Practitioners 1

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.

• Cara Marie Heinze, PT

  • Physical Therapist
  • Scappoose, OR
  • NPI 1790117406
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1615680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646784000000",
    "number": "1225613904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52436 NE 14TH ST",
            "city": "SCAPPOOSE",
            "state": "OR",
            "postal_code": "970563332",
            "telephone_number": "805-610-1416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52436 NE 14TH ST",
            "city": "SCAPPOOSE",
            "state": "OR",
            "postal_code": "970563332",
            "telephone_number": "805-610-1416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA COUNTY MOBILE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-14",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A",
        "authorized_official_last_name": "HEINZE",
        "authorized_official_first_name": "CARA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "805-610-1416",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James W Cavin, PT
• Joanna M Chadd, DPT
• Jennifer Cogburn, MD
• Jessica Colley, RPH
• Jenna Collie
• Columbia County Public Health
• Compassionate Inhome Caregiving of Oregon, LLC
• Lesley Dorsett Conway, LCSW
• Olivia June Cook
• Laura Criddle, PHD RN

• Physical Therapy Clinic/Center in Scappoose, OR
• Providers in Scappoose, OR by specialty
• Physical Therapy Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.