NPIMap

Organization Active NPI

Forward Stride

  • Rehabilitation Clinic/Center
  • Beaverton, OR
National Provider Identifier
1255865663
Registry record updated Apr 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
2872 Issued in OR
Legal business name
FORWARD STRIDE
Practice address
18218 SW Horse Tale Dr
Beaverton, OR 97007-9789
Phone
(503) 590-2959
NPI assigned
Apr 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2017

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

Authorized official

Name
Ms. Valery Brisbane Sampson, OTR
Title
Occupational Therapist
Phone
(503) 737-5380

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X 2872 OR Primary

Addresses

Primary practice location

18218 SW Horse Tale Dr
Beaverton, OR 97007-9789

Mailing address

18218 SW Horse Tale Dr
Beaverton, OR 97007-9789
Phone (503) 590-2959

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1492041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492041600000",
    "number": "1255865663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18218 SW HORSE TALE DR",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970079789",
            "telephone_number": "503-590-2959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18218 SW HORSE TALE DR",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970079789",
            "telephone_number": "503-590-2959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORWARD STRIDE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-13",
        "last_updated": "2017-04-13",
        "status": "A",
        "authorized_official_last_name": "SAMPSON",
        "authorized_official_first_name": "VALERY",
        "authorized_official_middle_name": "BRISBANE",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "503-737-5380",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "OR",
            "license": "2872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2017; 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.