Active NPI
SW Rehab Associates LLC
- Physical Therapy Clinic/Center
- Portland, OR
National Provider Identifier
1477733590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- SW REHAB ASSOCIATES LLC
- Practice address
- 10305 SW Park Way
Suite 200
Portland, OR 97225-5028 - Phone
- (503) 684-9698
- NPI assigned
- Nov 6, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffrey K Tunick
- Title
- Member
- Phone
- (503) 684-9698
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
10305 SW Park Way
Suite 200
Portland, OR 97225-5028
Mailing address
10500 SW Greenburg Rd
Suite 200
Portland, OR 97223-1406
National Provider Directory
National Provider DirectoryLocations
10305 SW Park Way
Ste 200
Portland, OR 97225
Phone (503) 684-9698
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Massage Therapist
- Tigard, OR
- NPI 1144527250
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194307200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1194307200000",
"number": "1477733590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10500 SW GREENBURG RD",
"address_2": "SUITE 200",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972231406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10305 SW PARK WAY",
"address_2": "SUITE 200",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972255028",
"telephone_number": "503-684-9698"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SW REHAB ASSOCIATES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-06",
"last_updated": "2007-11-06",
"status": "A",
"authorized_official_last_name": "TUNICK",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "503-684-9698"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"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 Nov 6, 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.