Tabor Pediatric Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

TABOR PEDIATRIC PHYSICAL THERAPY LLC

Practice address

2224 SE 53Rd Ave
Portland, OR 97215-3916

Phone

(503) 522-1359

NPI assigned

Mar 7, 2019

Last updated

Mar 7, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Emily Louise Lighthipe, DPT

Title

Physical Therapist

Phone

(503) 522-1359

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1551916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551916800000",
    "number": "1487112553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2224 SE 53RD AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972153916",
            "telephone_number": "503-522-1359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2224 SE 53RD AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972153916",
            "telephone_number": "503-522-1359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TABOR PEDIATRIC PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-07",
        "last_updated": "2019-03-07",
        "status": "A",
        "authorized_official_last_name": "LIGHTHIPE",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "503-522-1359",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063626034",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anne Joyce Tabachnick
• Yedidya Tabanpour, ACUPUNCTURIST
• John Philip Tabb
• Nicole C Tabbal, AGACNP
• Wendie Lee Taber, CADC II
• Tabor View Health and Wellness
• Katherine Ann Tacker, M.D.
• Camille Tackett, PHARMD.
• Tactus Massage Therapies
• Amanda Rose Taddeo, LMT

• Physical Therapy Clinic/Center in Portland, OR
• Providers in Portland, OR by specialty
• Physical Therapy Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2019; 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.