Therapeutic Associates, Inc.
Organization Active NPI Physical Therapist · Portland, OR
NPI 1235705013 · NPPES record last updated Jun 2, 2021
Key facts
- NPI
- 1235705013
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- THERAPEUTIC ASSOCIATES, INC.
- Practice address
- 8220 North Ivanhoe Street
Portland, OR 97203 - Phone
- (503) 334-3901
- Fax
- (503) 334-3931
- NPI assigned
- Jun 2, 2021
- Organization subpart
- No
Authorized official
- Name
- Melissa Hamilton
- Title
- Director Payer & Provider Relations
- Phone
- (503) 443-6156
Corporate family (same tax ID) 20
Practitioners 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040205000432 | OR | Part B Supplier - Clinic/Group Practice | 0042116279 |
Receives reassigned benefits from 305 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
- Tax ID family
- Sally J Miller PT
Locations
445 Harlow Rd
Ste 120
Springfield, OR 97477
Phone (541) 736-8870
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes |
Addresses
Primary practice location
8220 North Ivanhoe Street
Portland, OR 97203
Mailing address
16083 SW Upper Boones Ferry Rd Ste 300
Portland, OR 97224-7736
Phone (503) 443-6156
Other names
- TAI - St. Johns
Other providers in Portland, OR
- Therapeutic Associates Inc
- Therapeutic Associates Inc
- Therapeutic Associates Inc
- Therapeutic Associates Inc
- Therapeutic Associates, Inc
- Therapeutic by Design, LLC
- Therapia P.C.
- Therapy Centers of the Southwest I, P.a., P.C.
- Therapy Centers of the Southwest I, P.a., P.C.
- Therapy Centers of the Southwest I, PA, PC
All providers in Portland, OR · Physical Therapist in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 2, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.