Organization Active NPI

Fuerza Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Portland, OR
National Provider Identifier
1306394846
Registry record updated Oct 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
60426 Issued in OR
Legal business name
FUERZA PHYSICAL THERAPY, LLC
Practice address
1720 SE Haig St
Portland, OR 97202-2852
Phone
(305) 979-9836
NPI assigned
Sep 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2016

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

Authorized official

Name
Natalie San Andres, PT, DPT
Title
Physical Therapist and Owner
Phone
(305) 979-9836

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 60426 OR Primary

Addresses

Primary practice location

1720 SE Haig St
Portland, OR 97202-2852

Mailing address

6315 SE 23Rd Ave
Portland, OR 97202-5449
Phone (305) 979-9836

National Provider Directory

National Provider Directory

Locations

1720 SE Haig St
Portland, OR 97202
Phone (305) 979-9836

NPI Registry JSON

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

{
    "created_epoch": "1473724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476921600000",
    "number": "1306394846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6315 SE 23RD AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972025449",
            "telephone_number": "305-979-9836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 SE HAIG ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972022852",
            "telephone_number": "305-979-9836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUERZA PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-13",
        "last_updated": "2016-10-20",
        "status": "A",
        "authorized_official_last_name": "SAN ANDRES",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST AND OWNER",
        "authorized_official_telephone_number": "305-979-9836",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "OR",
            "license": "60426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.