Active NPI
Kinaesthetics, Inc.
- Customized Equipment (DME)
- Portland, OR
National Provider Identifier
1376713339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- Legal business name
- KINAESTHETICS, INC.
- Practice address
- 7725 W Stark St
Portland, OR 97229-6718 - Phone
- (503) 867-2239
- NPI assigned
- Mar 6, 2008
- 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
- Mr. Scott Lee Tucker, C.PED.
- Title
- President
- Phone
- (503) 867-2239
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Customized Equipment (DME) | 332BC3200X | Primary |
Addresses
Primary practice location
7725 W Stark St
Portland, OR 97229-6718
Mailing address
17 SW Miller Rd
Portland, OR 97225
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204761600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204761600000",
"number": "1376713339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 SW MILLER RD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7725 W STARK ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972296718",
"telephone_number": "503-867-2239"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KINAESTHETICS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-06",
"last_updated": "2008-03-06",
"status": "A",
"authorized_official_last_name": "TUCKER",
"authorized_official_first_name": "SCOTT",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "503-867-2239",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "C.PED."
},
"taxonomies": [
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"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 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.