Organization Active NPI

Readygo Physical Therapy LLC

  • Home Health Agency
  • Portland, OR
National Provider Identifier
1356969976
Registry record updated Jul 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
READYGO PHYSICAL THERAPY LLC
Practice address
904 SE 69TH Ave
Portland, OR 97215-2120
Phone
(631) 742-3725
NPI assigned
Jul 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2020

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

Authorized official

Name
Michelle Orelli, DPT
Title
Owner/Physical Therapist
Phone
(425) 331-9098

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Physical Therapy Clinic/Center 261QP2000X

Addresses

Primary practice location

904 SE 69TH Ave
Portland, OR 97215-2120

Mailing address

904 SE 69TH Ave
Portland, OR 97215-2120
Phone (631) 742-3725

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1594252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596067200000",
    "number": "1356969976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 SE 69TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972152120",
            "telephone_number": "631-742-3725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 SE 69TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972152120",
            "telephone_number": "631-742-3725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "READYGO PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-09",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A",
        "authorized_official_last_name": "ORELLI",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "425-331-9098",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 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.