Tai Wellness LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

TAI WELLNESS LLC

Practice address

20540 NW Evergreen Pkwy
Hillsboro, OR 97124-7111

Phone

(503) 671-3962

Fax

(503) 671-3922

NPI assigned

Jan 18, 2017

Organization subpart

No

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

Authorized official

Name

Todd Gifford

Title

Ceo

Phone

(800) 219-8835

Specialties & licenses 2

Addresses

Tax ID family

Tai Wellness LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Tai Wellness LLC

  • Physical Therapist
  • Beaverton, OR
  • NPI 1659817336
  NPD tax ID
• Tai Wellness LLC

  • Physical Therapist
  • Beaverton, OR
  • NPI 1902342686
  NPD tax ID

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

{
    "created_epoch": "1484697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1548706229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16083 SW UPPER BOONES FERRY RD",
            "address_2": "SUITE 300",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972247736",
            "telephone_number": "800-219-8835",
            "fax_number": "503-639-9699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20540 NW EVERGREEN PKWY",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971247111",
            "telephone_number": "503-671-3962",
            "fax_number": "503-671-3922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAI WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-18",
        "last_updated": "2017-01-18",
        "status": "A",
        "authorized_official_last_name": "GIFFORD",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "800-219-8835"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regina Marie Szczesniak, M.D.
• Sandy Tadrous-Furnanz
• Shidrokh Taeidi, DO
• Mohammed A Taher, MD
• Raeesah Taher, DMD
• Hazel Villar Taitano, QMHA
• Kimberly Karrolle Talbot McCoy, MS, CCC-SLP
• Elena Talea, OD
• Alice Tam, PHARM.D.
• Itzel Tamez

• Physical Therapist in Hillsboro, OR
• Providers in Hillsboro, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; 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.