Organization Active NPI

Enhanced Physical Therapy and Wellness LLC

  • Physical Therapy Clinic/Center
  • Redmond, OR
National Provider Identifier
1225844970
Registry record updated Dec 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
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

Updated by the provider on Dec 7, 2024

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

Authorized official

Name
Jessica Hope Shiyomura, PT, DPTNPI 1326593112
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)CodeLicenseStatePrimary
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 Directory

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": "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.

Verify at the official NPI Registry.