Bastian Physical Therapy, P.C.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2021 Issued in OR

Legal business name

BASTIAN PHYSICAL THERAPY, P.C.

Practice address

870 5TH St
Lake Oswego, OR 97034-2312

Phone

(503) 697-0542

Fax

(503) 697-4895

NPI assigned

Sep 6, 2007

Organization subpart

No

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

Authorized official

Name

Neil Bastian, PT, LMT

Title

President

Phone

(503) 697-0542

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301961600000",
    "number": "1235324948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 5TH ST",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970342312",
            "telephone_number": "503-697-0542",
            "fax_number": "503-697-4895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 5TH ST",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970342312",
            "telephone_number": "503-697-0542",
            "fax_number": "503-697-4895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASTIAN PHYSICAL THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2011-04-05",
        "status": "A",
        "authorized_official_last_name": "BASTIAN",
        "authorized_official_first_name": "NEIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-697-0542",
        "authorized_official_credential": "PT, LMT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "2021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Barnett, ND
• Daryl William Baron, MD
• Sergio Antonio Barrera, D.C.
• Danielle Sharayah Barth, M.S.W.
• Runaz Barzangy, DMD
• Neil Bastian, MS, PT
• Caitlin Batch, OTD
• Lisa Bates
• Susan Ranae Battle, FNP
• Bauer Medical Association

• Physical Therapist in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; 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.