NPIMap

Organization Active NPI

KJB Consulting Corporation

Doing business as Whole Body Health Physical Therapy

  • Physical Therapy Clinic/Center
  • Portland, OR
National Provider Identifier
1497172373
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
60214 Issued in OR
Legal business name
KJB CONSULTING CORPORATION
Doing business as
Whole Body Health Physical Therapy
Practice address
2525 NW Lovejoy St Ste 202
Portland, OR 97210-2863
Phone
(503) 223-1856
Fax
(503) 223-1765
NPI assigned
Mar 27, 2014
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Bryan Lang, DPTNPI 1821420803
Title
Ceo
Phone
(503) 223-1856

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 60504 OR
Physical Therapy Clinic/Center 261QP2000X 61700 OR
Physical Therapy Clinic/Center 261QP2000X 06391 OR
Physical Therapy Clinic/Center 261QP2000X 05662 OR
Physical Therapy Clinic/Center 261QP2000X 60214 OR Primary

Addresses

Primary practice location

2525 NW Lovejoy St Ste 202
Portland, OR 97210-2863

Mailing address

2525 NW Lovejoy St Ste 202
Portland, OR 97210-2863
Phone (503) 223-1856

Other identifiers 1

IdentifierTypeStateIssuer
500675564MedicaidOR

Other names 1

  • Whole Body Health Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140522001817 OR Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1759504590 Receives reassigned benefits from 26 practitioners
Practice locations: Vernonia, OR; Portland, OR; Tigard, OR

National Provider Directory

National Provider Directory

Locations

2525 NW Lovejoy St
Ste 205
Portland, OR 97210

3934 NE Martin Luther King Jr Blvd
Ste 203
Portland, OR 97212
Phone 5032231856301

5311 N Vancouver Ave
Portland, OR 97217
Phone (503) 239-8181

9735 SW Shady Ln
Ste 203B
Tigard, OR 97223
Phone (503) 212-4504

Practitioners & affiliated clinicians

Practitioners 32

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 32

NPI Registry JSON

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

{
    "created_epoch": "1395878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1497172373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 NW LOVEJOY ST STE 202",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972102863",
            "telephone_number": "503-223-1856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 NW LOVEJOY ST STE 202",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972102863",
            "telephone_number": "503-223-1856",
            "fax_number": "503-223-1765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KJB CONSULTING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-27",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LANG",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "503-223-1856",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "OR",
            "license": "60504",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "OR",
            "license": "61700",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "OR",
            "license": "06391",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "OR",
            "license": "05662",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "OR",
            "license": "60214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500675564",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Whole Body Health Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 21, 2022; 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.