Individual provider Active NPI

Christina M Esquivel, PT

  • Physical Therapist
  • Portland, OR
National Provider Identifier
1457499139
Registry record updated Mar 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5878 Issued in OR
Practice address
7721 SW 34TH Ave
Portland, OR 97219-1725
Phone
(503) 452-7767
Fax
(503) 452-7766
NPI assigned
Feb 2, 2007
Last updated
Mar 14, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5878 OR Primary

Addresses

Primary practice location

7721 SW 34TH Ave
Portland, OR 97219-1725

Mailing address

6041 Bonita Rd Apt M208
Lake Oswego, OR 97035-2248
Phone (815) 751-5824

Other identifiers 1

IdentifierTypeStateIssuer
02663OtherIAWELLMARK BCBS OF IOWA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100118000050 OR Practitioner - Physical Therapist in Private Practice 5991872251 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
H and P Goodell IncGroup PAC ID 1153340476, 8 clinicians

Practice addresses (Care Compare)

4475 SW Scholls Ferry Rd
Suite 258
Portland, OR 97225-1958
Phone (503) 292-5882

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
H & P Goodell, Inc. CurrentSince Mar 31, 2014 Accepting new patients
Ellen Nona Hoyven, P.T. P.C. Physical Therapist PastSince Mar 28, 2001 Accepting new patients
Joe Keeney Physical Therapy, Inc Physical Therapist Past Accepting new patients
Joe Keeney Physical Therapy, Inc. Physical Therapist Past Accepting new patients

Locations

4475 SW Scholls Ferry Rd
Ste 258
Portland, OR 97225
Phone (503) 292-5882

4943 NE Mlk Jr Blvd
Portland, OR 97211
Phone (503) 282-7900

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363219200000",
    "number": "1457499139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6041 BONITA RD APT M208",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970352248",
            "telephone_number": "815-751-5824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7721 SW 34TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972191725",
            "telephone_number": "503-452-7767",
            "fax_number": "503-452-7766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESQUIVEL",
        "first_name": "CHRISTINA",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2013-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "5878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS OF IOWA",
            "identifier": "02663",
            "state": "IA"
        }
    ],
    "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 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.