Yuzu Physical Therapy and Wellness, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

YUZU PHYSICAL THERAPY AND WELLNESS, LLC

Practice address

436 SE 12TH Ave
Portland, OR 97214-1323

Phone

(503) 305-3088

NPI assigned

Mar 25, 2024

Last updated

Mar 25, 2024By 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

Chie Tadaki, DPTNPI 1114393188

Title

Physical Therapist/Owner

Phone

(971) 303-5794

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Chie Tadaki, DPT

  • Physical Therapist
  • Eugene, OR
  • NPI 1114393188
  NPD Authorized official

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

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711324800000",
    "number": "1558111476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 NE DAVIS ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972323127",
            "telephone_number": "971-303-5794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 SE 12TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972141323",
            "telephone_number": "503-305-3088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YUZU PHYSICAL THERAPY AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-25",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-24",
        "status": "A",
        "authorized_official_last_name": "TADAKI",
        "authorized_official_first_name": "CHIE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "971-303-5794",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aleta Yushkevich, PHARMD
• Hanan Dahir Yusuf
• Nijma M Yusuf, APN-CRNA
• Elizabeth Yutan, MD
• Jeanine Yutani, LMT
• Yyoma Health LLC (Yyoma Health)
• Jessica Zabaldo
• Jason Eric Zabell, MSOM, ND
• Lillie Joy Zable
• Ivan Zablotovskii

• 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 25, 2024; 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.