Individual provider Active NPI

Nicholas Ing, DPT

  • Physical Therapist
  • Portland, OR
National Provider Identifier
1326567843
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
62429 Issued in OR
Practice address
9828 E Burnside St Ste 250
Portland, OR 97216-2365
Phone
(503) 254-3424
Fax
(503) 254-3424
NPI assigned
Sep 15, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 62429 OR Primary

Addresses

Primary practice location

9828 E Burnside St Ste 250
Portland, OR 97216-2365

Mailing address

9828 E Burnside St Ste 250
Portland, OR 97216-2365

Other practice location 1

9828 E Burnside St Ste 250
Portland, OR 97216-2365
Phone (503) 254-3424

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1505433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1326567843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9828 E BURNSIDE ST STE 250",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9828 E BURNSIDE ST STE 250",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162365",
            "telephone_number": "503-254-3424",
            "fax_number": "503-254-3424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9828 E Burnside St Ste 250",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972162365",
            "country_code": "US",
            "telephone_number": "503-254-3424",
            "fax_number": "503-254-3424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ING",
        "first_name": "NICHOLAS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-15",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "62429",
            "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 Mar 17, 2018; 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.