NPIMap

Organization Active NPI

Kab Physical Therapy LLC

Doing business as Impact Physical Therapy of Hillsboro

  • Physical Therapist
  • Hillsboro, OR
National Provider Identifier
1447568183
Registry record updated May 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
KAB PHYSICAL THERAPY LLC
Doing business as
Impact Physical Therapy of Hillsboro
Practice address
4950 NE Belknap CT Ste 107
Hillsboro, OR 97124-5114
Phone
(503) 615-5969
Fax
(503) 615-5971
NPI assigned
Sep 15, 2010
Last updated
May 7, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2014

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

Authorized official

Name
Mr. Kent Alan Bond, P.T.NPI 1710987714
Title
Co-Owner
Phone
(503) 615-5969

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

Addresses

Primary practice location

4950 NE Belknap CT Ste 107
Hillsboro, OR 97124-5114

Mailing address

4950 NE Belknap CT Ste 107
Hillsboro, OR 97124-5114
Phone (503) 615-5969

Other names 1

  • Impact Physical Therapy of Hillsboro Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110127000680 OR Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7214116839 Receives reassigned benefits from 11 practitioners
Practice locations: Banks, OR; Hillsboro, OR

National Provider Directory

National Provider Directory

Locations

4950 NE Belknap Ct
Ste 107
Hillsboro, OR 97124
Phone (503) 615-5969

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399420800000",
    "number": "1447568183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4950 NE BELKNAP CT STE 107",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971245114",
            "telephone_number": "503-615-5969",
            "fax_number": "503-615-5971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4950 NE BELKNAP CT STE 107",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971245114",
            "telephone_number": "503-615-5969",
            "fax_number": "503-615-5971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAB PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-15",
        "last_updated": "2014-05-07",
        "status": "A",
        "authorized_official_last_name": "BOND",
        "authorized_official_first_name": "KENT",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "503-615-5969",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Impact Physical Therapy of Hillsboro",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2014; 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.

Verify at the official NPI Registry.