Organization Active NPI

PT En Route, LLC

  • Physical Therapy Clinic/Center
  • Hillsboro, OR
National Provider Identifier
1265814735
Registry record updated Jun 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
5080 Issued in OR
Legal business name
PT EN ROUTE, LLC
Practice address
3057 NW Overlook Dr Apt 1415
Hillsboro, OR 97124-7217
Phone
(503) 803-4279
NPI assigned
Jun 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2015

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

Authorized official

Name
Mr. Robert William Fleming, PT
Title
Owner
Phone
(503) 803-4279

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 5080 OR Primary

Addresses

Primary practice location

3057 NW Overlook Dr Apt 1415
Hillsboro, OR 97124-7217

Mailing address

3057 NW Overlook Dr Apt 1415
Hillsboro, OR 97124-7217
Phone (503) 803-4279

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1434931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434931200000",
    "number": "1265814735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3057 NW OVERLOOK DR APT 1415",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971247217",
            "telephone_number": "503-803-4279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3057 NW OVERLOOK DR APT 1415",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971247217",
            "telephone_number": "503-803-4279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PT EN ROUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-22",
        "last_updated": "2015-06-22",
        "status": "A",
        "authorized_official_last_name": "FLEMING",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-803-4279",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "OR",
            "license": "5080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2015; 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.