NPIMap

Organization Active NPI

Mobile Rehab LLC

  • Physical Therapist
  • Newberg, OR
National Provider Identifier
1346864923
Registry record updated May 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MOBILE REHAB LLC
Practice address
319 N the Greens Ave
Newberg, OR 97132-7464
Phone
(503) 487-6221
Fax
(503) 683-8071
NPI assigned
May 30, 2020
Last updated
May 30, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2020

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

Authorized official

Name
Mr. Daniel Kang, PT, DPTNPI 1538253364
Title
Ceo
Phone
(503) 487-6221

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

319 N the Greens Ave
Newberg, OR 97132-7464

Mailing address

319 N the Greens Ave
Newberg, OR 97132-7464
Phone (503) 487-6221

National Provider Directory

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1590796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590796800000",
    "number": "1346864923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 N THE GREENS AVE",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971327464",
            "telephone_number": "503-487-6221",
            "fax_number": "503-683-8071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 N THE GREENS AVE",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971327464",
            "telephone_number": "503-487-6221",
            "fax_number": "503-683-8071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-30",
        "last_updated": "2020-05-30",
        "certification_date": "2020-05-30",
        "status": "A",
        "authorized_official_last_name": "KANG",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "503-487-6221",
        "authorized_official_name_prefix": "Mr.",
        "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 Newberg, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.