Active NPI
Fit for Life Physical Therapy
- Physical Therapist
- Portland, OR
National Provider Identifier
1336987908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- FIT FOR LIFE PHYSICAL THERAPY
- Practice address
- 3007 NE Emerson St
Portland, OR 97211-6905 - Phone
- (503) 213-9423
- Fax
- (503) 210-1079
- NPI assigned
- Jul 18, 2024
- Last updated
- Jul 18, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Asiya Akhgar, DPT
- Title
- Physical Therapist
- Phone
- (360) 204-1240
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
3007 NE Emerson St
Portland, OR 97211-6905
Mailing address
1604 NE 52ND Ave
Portland, OR 97213-2726
Phone (360) 204-1240
National Provider Directory
National Provider DirectoryLocations
3007 NE Emerson St
Portland, OR 97211
Phone (503) 213-9423
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Physical Therapist
- Portland, OR
- NPI 1881173755
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721260800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721260800000",
"number": "1336987908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1604 NE 52ND AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972132726",
"telephone_number": "360-204-1240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3007 NE EMERSON ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972116905",
"telephone_number": "503-213-9423",
"fax_number": "503-210-1079"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIT FOR LIFE PHYSICAL THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-18",
"last_updated": "2024-07-18",
"certification_date": "2024-07-18",
"status": "A",
"authorized_official_last_name": "AKHGAR",
"authorized_official_first_name": "ASIYA",
"authorized_official_title_or_position": "PHYSICAL THERAPIST",
"authorized_official_telephone_number": "360-204-1240",
"authorized_official_credential": "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 Jul 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.