Organization Active NPI

Healing Pathway Physical Therapy, LLC

  • Physical Therapist
  • Portland, OR
National Provider Identifier
1619200813
Registry record updated Sep 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5246 Issued in OR
Legal business name
HEALING PATHWAY PHYSICAL THERAPY, LLC
Practice address
1221 SE Madison St
Portland, OR 97214-3890
Phone
(503) 445-7767
Fax
(503) 459-4221
NPI assigned
Sep 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2009

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

Authorized official

Name
Holly H Hamilton, DPT
Title
Physical Therapist
Phone
(503) 330-2848

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 5246 OR Primary

Addresses

Primary practice location

1221 SE Madison St
Portland, OR 97214-3890

Mailing address

1221 SE Madison St
Portland, OR 97214-3890
Phone (503) 445-7767

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1252368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252368000000",
    "number": "1619200813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 SE MADISON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972143890",
            "telephone_number": "503-445-7767",
            "fax_number": "503-459-4221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 SE MADISON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972143890",
            "telephone_number": "503-445-7767",
            "fax_number": "503-459-4221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING PATHWAY PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-08",
        "last_updated": "2009-09-08",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "503-330-2848",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "5246",
            "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 Sep 8, 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.