Active NPI
Natasha Podlineva, LMT
- Mechanotherapist
- Portland, OR
National Provider Identifier
1568854693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- 21022
- Practice address
- 10249 NE Clackamas St
Portland, OR 97220-3915 - Phone
- (503) 206-6078
- NPI assigned
- Feb 26, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | 21022 | OR | Primary |
Addresses
Primary practice location
10249 NE Clackamas St
Portland, OR 97220-3915
Mailing address
2305 SE Palmblad Rd
Gresham, OR 97080-7352
Phone (503) 267-8600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21022 | OR | MD | Mechanotherapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424908800000",
"number": "1568854693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2305 SE PALMBLAD RD",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970807352",
"telephone_number": "503-267-8600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10249 NE CLACKAMAS ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972203915",
"telephone_number": "503-206-6078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PODLINEVA",
"first_name": "NATASHA",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-02-26",
"last_updated": "2015-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "OR",
"license": "21022",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Feb 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.