Active NPI
Enhanced Physical Therapy and Wellness LLC
- Physical Therapy Clinic/Center
- Redmond, OR
National Provider Identifier
1225844970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- ENHANCED PHYSICAL THERAPY AND WELLNESS LLC
- Practice address
- 2382 NW Upas Way
Redmond, OR 97756-6237 - Phone
- (971) 910-6265
- NPI assigned
- Dec 7, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jessica Hope Shiyomura, PT, DPT
- Title
- Physical Therapist / Owner
- Phone
- (971) 910-6265
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
2382 NW Upas Way
Redmond, OR 97756-6237
Mailing address
2382 NW Upas Way
Redmond, OR 97756-6237
Phone (971) 910-6265
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Banks, OR
- NPI 1326593112
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733529600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733529600000",
"number": "1225844970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2382 NW UPAS WAY",
"city": "REDMOND",
"state": "OR",
"postal_code": "977566237",
"telephone_number": "971-910-6265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2382 NW UPAS WAY",
"city": "REDMOND",
"state": "OR",
"postal_code": "977566237",
"telephone_number": "971-910-6265"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENHANCED PHYSICAL THERAPY AND WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-07",
"last_updated": "2024-12-07",
"certification_date": "2024-12-07",
"status": "A",
"authorized_official_last_name": "SHIYOMURA",
"authorized_official_first_name": "JESSICA",
"authorized_official_middle_name": "HOPE",
"authorized_official_title_or_position": "PHYSICAL THERAPIST / OWNER",
"authorized_official_telephone_number": "971-910-6265",
"authorized_official_credential": "PT, DPT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redmond, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.