Organization Active NPI

Redpoint Physical Therapy and Performance LLC

  • Physical Therapist
  • Portland, OR
National Provider Identifier
1336775907
Registry record updated Mar 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
REDPOINT PHYSICAL THERAPY AND PERFORMANCE LLC
Practice address
4200 NE Flanders St Unit B
Portland, OR 97213
Phone
(541) 729-8863
NPI assigned
Mar 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2020

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

Authorized official

Name
Montana Ray Ward Rhoden, PT, DPT
Title
Doctor of Physical Therapy, Owner
Phone
(541) 729-8863

Specialties & licenses 1

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

Addresses

Primary practice location

4200 NE Flanders St Unit B
Portland, OR 97213

Mailing address

4200 NE Flanders St Unit B
Portland, OR 97213
Phone (541) 729-8863

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1584316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584316800000",
    "number": "1336775907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 NE FLANDERS ST UNIT B",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97213",
            "telephone_number": "541-729-8863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 NE FLANDERS ST UNIT B",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97213",
            "telephone_number": "541-729-8863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDPOINT PHYSICAL THERAPY AND PERFORMANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-16",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A",
        "authorized_official_last_name": "RHODEN",
        "authorized_official_first_name": "MONTANA",
        "authorized_official_middle_name": "RAY WARD",
        "authorized_official_title_or_position": "DOCTOR OF PHYSICAL THERAPY, OWNER",
        "authorized_official_telephone_number": "541-729-8863",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "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 16, 2020; 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.