Organization Active NPI

Body Mechanix

  • Physical Therapy Clinic/Center
  • Portland, OR
National Provider Identifier
1417319781
Registry record updated Mar 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
5138 Issued in OR
Legal business name
BODY MECHANIX
Practice address
530 NW 23Rd Ave Ste 116
Portland, OR 97210-3287
Phone
(505) 699-5190
NPI assigned
Mar 24, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2016

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

Authorized official

Name
Nicki Marie McDaniel, MPT
Title
Lead PT
Phone
(505) 699-5190

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 5138 OR Primary

Addresses

Primary practice location

530 NW 23Rd Ave Ste 116
Portland, OR 97210-3287

Mailing address

530 NW 23Rd Ave Ste 116
Portland, OR 97210-3287
Phone (505) 699-5190

National Provider Directory

National Provider Directory

Locations

530 NW 23rd Ave
Ste 116
Portland, OR 97210
Phone (505) 699-5190

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1458777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458777600000",
    "number": "1417319781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 NW 23RD AVE STE 116",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103287",
            "telephone_number": "505-699-5190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 NW 23RD AVE STE 116",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103287",
            "telephone_number": "505-699-5190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY MECHANIX",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-24",
        "last_updated": "2016-03-24",
        "status": "A",
        "authorized_official_last_name": "MCDANIEL",
        "authorized_official_first_name": "NICKI",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "LEAD PT",
        "authorized_official_telephone_number": "505-699-5190",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "OR",
            "license": "5138",
            "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 24, 2016; 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.