Martha Jane Liske Coor, PTA CMT

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

6370 Issued in CA

Practice address

4560 SE International Way Suite 100
Consonus Healthcare Services
Milwaukie, OR 97222

Phone

(971) 206-5129

Fax

(971) 206-5209

NPI assigned

Apr 16, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Martha Jane Liske Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508081209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4560 SE INTERNATIONAL WAY SUITE 100",
            "address_2": "CONSONUS HEALTHCARE SERVICES",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "97222",
            "telephone_number": "971-206-5129",
            "fax_number": "971-206-5209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4560 SE INTERNATIONAL WAY SUITE 100",
            "address_2": "CONSONUS HEALTHCARE SERVICES",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "97222",
            "telephone_number": "971-206-5129",
            "fax_number": "971-206-5209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOR",
        "first_name": "MARTHA",
        "middle_name": "JANE LISKE",
        "name_prefix": "Mrs.",
        "credential": "PTA CMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "6370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARTHA",
            "last_name": "LISKE",
            "middle_name": "JANE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ezra Conchita Contreras, SPEECH LANGUAGE PATH
• Angela Kay Cook, CERTIFIED OCCUPATION
• Ashley Elizabeth Cook
• Crystal Colleen Cook, LMT
• Sydney Cook, M.S. CCC-SLP
• Julie Irene Copeland, OTR
• Ruth Cordell, M.S., CCC-SLP
• Maria Leah Cordova, OTR/L
• Barbara M Corkrean, LPC, CADCIII
• Tony J Cornejo Sr., COTAL

• Physical Therapy Assistant in Milwaukie, OR
• Providers in Milwaukie, OR by specialty
• Physical Therapy Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.