Organization Active NPI

Kofoed Enteprises PC

Doing business as Portland Performing Arts Injuries Clinic

  • Orthopedic Physical Therapist
  • Portland, OR
National Provider Identifier
1427225606
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
1662 Issued in OR
Legal business name
KOFOED ENTEPRISES PC
Doing business as
Portland Performing Arts Injuries Clinic
Practice address
1020 SW Taylor Street Suite 665
Portland, OR 97205-2529
Phone
(503) 224-2222
NPI assigned
May 15, 2008
Last updated
May 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2008

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

Authorized official

Name
Ms. Grete A Kofoed, PT
Title
Physical Therapist
Phone
(503) 224-2222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 1662 OR Primary

Addresses

Primary practice location

1020 SW Taylor Street Suite 665
Portland, OR 97205-2529

Mailing address

1020 SW Taylor Street Suite 665
Portland, OR 97205-2529
Phone (503) 224-2222

Other names 1

  • Portland Performing Arts Injuries Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

1020 SW Taylor St
Ste 665
Portland, OR 97205
Phone (503) 224-2222

NPI Registry JSON

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1427225606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 SW TAYLOR STREET SUITE 665",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052529",
            "telephone_number": "503-224-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 SW TAYLOR STREET SUITE 665",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052529",
            "telephone_number": "503-224-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOFOED ENTEPRISES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-15",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "KOFOED",
        "authorized_official_first_name": "GRETE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "503-224-2222",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OR",
            "license": "1662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Portland Performing Arts Injuries Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 19, 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.

Verify at the official NPI Registry.