Organization Active NPI

Bemobilept, LLC

  • Physical Therapy Clinic/Center
  • Portland, OR
National Provider Identifier
1326553652
Registry record updated Dec 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
61057 Issued in OR
Legal business name
BEMOBILEPT, LLC
Practice address
6056 NE Willow St
Portland, OR 97213-4370
Phone
(503) 704-6928
NPI assigned
Dec 8, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2017

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

Authorized official

Name
Andrew Ball, DPT
Title
Owner/Physical Therapist
Phone
(503) 704-6928

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 61057 OR Primary

Addresses

Primary practice location

6056 NE Willow St
Portland, OR 97213-4370

Mailing address

6056 NE Willow St
Portland, OR 97213-4370
Phone (503) 704-6928

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1512691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512691200000",
    "number": "1326553652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6056 NE WILLOW ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972134370",
            "telephone_number": "503-704-6928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6056 NE WILLOW ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972134370",
            "telephone_number": "503-704-6928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEMOBILEPT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-08",
        "last_updated": "2017-12-08",
        "status": "A",
        "authorized_official_last_name": "BALL",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "503-704-6928",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "OR",
            "license": "61057",
            "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 Dec 8, 2017; 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.