Individual provider Active NPI

Leonidis Tep Thape

  • General Care Registered Respiratory Therapist
  • Beaverton, OR
National Provider Identifier
1285091975
Registry record updated Jan 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Care Registered Respiratory TherapistTaxonomy code 2279G1100X
License
RTP10169807 Issued in OR
Practice address
14095 SW Walker Rd
Apt 78
Beaverton, OR 97005-1018
Phone
(503) 862-8095
NPI assigned
Jan 26, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Care Registered Respiratory Therapist 2279G1100X RTP10169807 OR Primary

Addresses

Primary practice location

14095 SW Walker Rd
Apt 78
Beaverton, OR 97005-1018

Mailing address

14095 SW Walker Rd Apt 78
Beaverton, OR 97005-1069
Phone (503) 862-8095

Other names 1

  • Heap Tep Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RTP10169807ORMDGeneral Care Registered Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1453766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453766400000",
    "number": "1285091975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14095 SW WALKER RD APT 78",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970051069",
            "telephone_number": "503-862-8095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14095 SW WALKER RD",
            "address_2": "APT 78",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970051018",
            "telephone_number": "503-862-8095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAPE",
        "first_name": "LEONIDIS",
        "middle_name": "TEP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-26",
        "last_updated": "2016-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2279G1100X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, General Care",
            "state": "OR",
            "license": "RTP10169807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEAP",
            "last_name": "TEP",
            "credential": "RESPIRATORY THERAPY",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Jan 26, 2016; 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.