Organization Active NPI

North Lake Physical Therapy and Rehab LP

  • Physical Therapist
  • Lake Oswego, OR
National Provider Identifier
1316383201
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
NORTH LAKE PHYSICAL THERAPY AND REHAB LP
Practice address
101 S State St Ste 4200
Lake Oswego, OR 97034-3977
Phone
(503) 636-3028
NPI assigned
May 17, 2013
Last updated
Sep 30, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2021

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

Authorized official

Name
Richard Binstein, JD
Title
VP, Authorized Official
Phone
(713) 297-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

101 S State St Ste 4200
Lake Oswego, OR 97034-3977

Mailing address

101 S State St Ste 4200
Lake Oswego, OR 97034-3977
Phone (503) 636-3028

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130808000644 OR Part B Supplier - Clinic/Group Practice 4082853825 Receives reassigned benefits from 48 practitioners
Practice locations: Oregon City, OR; Tigard, OR; Saint Helens, OR; Portland, OR; Milwaukie, OR; Lake Oswego, OR; Hillsboro, OR; Clackamas, OR…

National Provider Directory

National Provider Directory

Locations

365 S Redwood St
Canby, OR 97013
Phone (503) 266-4263

9100 SE Sunnyside Rd
#A
Clackamas, OR 97015
Phone (503) 305-6129

620 SE Oak St
Ste A
Hillsboro, OR 97123
Phone (503) 648-0661

101 S State St
Ste 4200
Lake Oswego, OR 97034
Phone (503) 636-3028

3218 SE 21st Ave
Portland, OR 97202
Phone (503) 288-4643

332 NE San Rafael St
Portland, OR 97212
Phone (503) 288-2615

5847 NE 122nd Ave
Ste 101
Portland, OR 97230
Phone (503) 252-2556

916 NW Flanders St
Portland, OR 97209
Phone (503) 222-4640

21 Cowlitz St
Saint Helens, OR 97051
Phone (503) 396-5411

Practitioners & affiliated clinicians

Practitioners 66

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 66

NPI Registry JSON

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

{
    "created_epoch": "1368748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632960000000",
    "number": "1316383201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S STATE ST STE 4200",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970343977",
            "telephone_number": "503-636-3028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S STATE ST STE 4200",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970343977",
            "telephone_number": "503-636-3028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH LAKE PHYSICAL THERAPY AND REHAB LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-17",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A",
        "authorized_official_last_name": "BINSTEIN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "VP, AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "713-297-7000",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Oswego, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.