Active NPI
Kristine J Spencer
- Physical Therapy Clinic/Center
- Wilsonville, OR
National Provider Identifier
1396728689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- KRISTINE J SPENCER
- Practice address
- 8890 SW Holly LN
Suite B
Wilsonville, OR 97070-9773 - Phone
- (503) 682-7565
- Fax
- (503) 682-8750
- NPI assigned
- Nov 21, 2005
- 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
- Kristi J Spencer, PT
- Title
- Owner
- Phone
- (503) 682-7565
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
8890 SW Holly LN
Suite B
Wilsonville, OR 97070-9773
Mailing address
8890 SW Holly LN
Suite B
Wilsonville, OR 97070-9773
Phone (503) 682-7565
Other names 1
- Wilsonville Physical Therapy
National Provider Directory
National Provider DirectoryLocations
8890 SW Holly Ln
Ste B
Wilsonville, OR 97070
Phone (503) 682-7565
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Lake Oswego, OR
- NPI 1255476073
-
- Physical Therapist
- Columbus, OH
- NPI 1528033388
-
- Physical Therapist
- Pinehurst, NC
- NPI 1164540993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132531200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214611200000",
"number": "1396728689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8890 SW HOLLY LN",
"address_2": "SUITE B",
"city": "WILSONVILLE",
"state": "OR",
"postal_code": "970709773",
"telephone_number": "503-682-7565",
"fax_number": "503-682-8750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8890 SW HOLLY LN",
"address_2": "SUITE B",
"city": "WILSONVILLE",
"state": "OR",
"postal_code": "970709773",
"telephone_number": "503-682-7565",
"fax_number": "503-682-8750"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KRISTINE J SPENCER",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-21",
"last_updated": "2008-06-28",
"status": "A",
"authorized_official_last_name": "SPENCER",
"authorized_official_first_name": "KRISTI",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "503-682-7565",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Wilsonville Physical Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wilsonville, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.