Organization Active NPI

Cascadia Physical Therapy Inc

  • Physical Therapist
  • Forest Grove, OR
National Provider Identifier
1316112873
Registry record updated Apr 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CASCADIA PHYSICAL THERAPY INC
Practice address
2726 19TH Ave
Forest Grove, OR 97116-2623
Phone
(503) 357-7822
Fax
(503) 357-1472
NPI assigned
Apr 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2010

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

Authorized official

Name
Mrs. Lynn M. Jones
Title
Office Manager/Owner
Phone
(503) 357-7822

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X OR Primary

Addresses

Primary practice location

2726 19TH Ave
Forest Grove, OR 97116-2623

Mailing address

PO Box 1136
Forest Grove, OR 97116-4136
Phone (503) 357-7822

Other identifiers 1

IdentifierTypeStateIssuer
295470MedicaidOR

National Provider Directory

National Provider Directory

Locations

2726 19th Ave
Forest Grove, OR 97116
Phone (503) 357-7822

NPI Registry JSON

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271635200000",
    "number": "1316112873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1136",
            "city": "FOREST GROVE",
            "state": "OR",
            "postal_code": "971164136",
            "telephone_number": "503-357-7822",
            "fax_number": "503-357-1472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2726 19TH AVE",
            "city": "FOREST GROVE",
            "state": "OR",
            "postal_code": "971162623",
            "telephone_number": "503-357-7822",
            "fax_number": "503-357-1472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADIA PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-25",
        "last_updated": "2010-04-19",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OFFICE MANAGER/OWNER",
        "authorized_official_telephone_number": "503-357-7822",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "295470",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Grove, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2010; 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.