Shine Integrative Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

58516098 Issued in OR

Legal business name

SHINE INTEGRATIVE PHYSICAL THERAPY LLC

Practice address

11735 NW Holly Springs LN Unit 105
Portland, OR 97229-6484

Phone

(503) 715-7237

Fax

(503) 715-0496

NPI assigned

Jun 19, 2009

Organization subpart

No

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

Authorized official

Name

Miss Emily Katharine Soiney, PT

Title

Owner

Phone

(503) 901-5361

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/6740/brand/1/csg/1/fhir/r4

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Lee Grimes, PT

  • Physical Therapist
  • Portland, OR
  • NPI 1942442207
  NPD (past)
• Christina Marie Haiser, P.T.

  • Physical Therapist
  • Portland, OR
  • NPI 1710205851
  NPD (past)
• Jennifer Tuttle, ND

  • Naturopath
  • Portland, OR
  • NPI 1154667665
  NPD (past)

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

{
    "created_epoch": "1245369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245369600000",
    "number": "1548497290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11735 NW HOLLY SPRINGS LN UNIT 105",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972296484",
            "telephone_number": "503-715-7237",
            "fax_number": "503-715-0496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11735 NW HOLLY SPRINGS LN UNIT 105",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972296484",
            "telephone_number": "503-715-7237",
            "fax_number": "503-715-0496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINE INTEGRATIVE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-19",
        "last_updated": "2009-06-19",
        "status": "A",
        "authorized_official_last_name": "SOINEY",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "KATHARINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-901-5361",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "OR",
            "license": "58516098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Shin, OD
• Cara Shina, CRNP
• Andrew Bryant Shinabarger, D.P.M.
• Meagan Shinbashi, MD
• Maisie L. Shindo, M.D.
• Sarah Rachel Shine, DPT
• Haylee Brooke Shingleton
• Emily Shinners
• Robert D Shinney, STUDENT
• Joshua David Shinoda, O.D.

• 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 Jun 19, 2009; 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.