Active NPI
Mechanotherapy, LLC
- Orthopedic Physical Therapist
- Portland, OR
National Provider Identifier
1396268629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- Legal business name
- MECHANOTHERAPY, LLC
- Practice address
- 2232 NW Pettygrove St Ste 110
Portland, OR 97210-2372 - Phone
- (310) 903-1828
- NPI assigned
- Jul 18, 2017
- 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
- Warren Gregory Hebert, PT
- Title
- Registered Agent/Owner
- Phone
- (310) 903-1828
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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | Primary |
Addresses
Primary practice location
2232 NW Pettygrove St Ste 110
Portland, OR 97210-2372
Mailing address
4975 SE Division St Apt 348
Portland, OR 97206-1574
Phone (310) 903-1828
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1500 NW 18th Ave
Ste 105
Portland, OR 97209
Phone (503) 567-5771
Practitioners & affiliated clinicians
Practitioners 2
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
- Eugene, OR
- NPI 1922435270
-
- Physical Therapist
- Eugene, OR
- NPI 1235567959
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500336000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1500336000000",
"number": "1396268629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4975 SE DIVISION ST APT 348",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972061574",
"telephone_number": "310-903-1828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2232 NW PETTYGROVE ST STE 110",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972102372",
"telephone_number": "310-903-1828"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MECHANOTHERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-07-18",
"last_updated": "2017-07-18",
"status": "A",
"authorized_official_last_name": "HEBERT",
"authorized_official_first_name": "WARREN",
"authorized_official_middle_name": "GREGORY",
"authorized_official_title_or_position": "REGISTERED AGENT/OWNER",
"authorized_official_telephone_number": "310-903-1828",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist, Orthopedic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
- Akeeta Meaux-Causey, MSW, CSWA
- Meba LLC
- Mebrat Mebrahtu, PHARMACIST
- Berhane Mebratu, NP
- Mechanical Diagnosis and Therapy of Portland, PC (MDT of Portland, PC)
- Alexandra Marie Mechler-Hickson, MD
- Nicholas K Mecklem, MD
- Garth David Meckler, MD
- Med RX Partners, PC (Med Rx Partners)
- Ruth Ellen Medak, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.