Organization Active NPI

CH Physical Therapy LLC

  • Physical Therapist
  • Portland, OR
National Provider Identifier
1437360427
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CH PHYSICAL THERAPY LLC
Practice address
914 NW 13TH Ave
Portland, OR 97209-3039
Phone
(971) 244-9000
Fax
(971) 244-9005
NPI assigned
May 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2007

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

Authorized official

Name
Mr. Colin Hoobler, MPT
Title
Ceo
Phone
(971) 244-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

914 NW 13TH Ave
Portland, OR 97209-3039

Mailing address

815 NW 13TH Ave
Suite C
Portland, OR 97209-3022
Phone (971) 244-9000

Other identifiers 1

IdentifierTypeStateIssuer
274553MedicaidOR

Other names 1

  • COLIN HOOBLER HOLDING LLC SOLEMBR Other name

National Provider Directory

National Provider Directory

Locations

16985 NW Cornell Rd
Ste 110
Beaverton, OR 97006
Phone (503) 601-9000

9900 SE Washington St
Ste C39
Portland, OR 97216
Phone (503) 546-7640

9976 SE Washington St
Portland, OR 97216
Phone (503) 465-7640

12011 SW 70th Ave
Tigard, OR 97223
Phone (503) 213-2020

Practitioners & affiliated clinicians

Practitioners 6

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": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1437360427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 NW 13TH AVE",
            "address_2": "SUITE C",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972093022",
            "telephone_number": "971-244-9000",
            "fax_number": "971-244-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 NW 13TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972093039",
            "telephone_number": "971-244-9000",
            "fax_number": "971-244-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CH PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "HOOBLER",
        "authorized_official_first_name": "COLIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "971-244-9000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274553",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COLIN HOOBLER HOLDING LLC SOLEMBR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Oct 11, 2007; 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.