Organization Active NPI

Ellen Fineman Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Tualatin, OR
National Provider Identifier
1619203486
Registry record updated Apr 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
1009 Issued in OR
Legal business name
ELLEN FINEMAN PHYSICAL THERAPY INC
Practice address
19767 SW 72ND Ave
Suite 102 B
Tualatin, OR 97062-8354
Phone
(503) 885-1480
Fax
(503) 885-2129
NPI assigned
Oct 28, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2011

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

Authorized official

Name
Ms. Ellen Lee Fineman, PT
Title
Physical Therapist
Phone
(503) 885-1480

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 1009 OR Primary

Addresses

Primary practice location

19767 SW 72ND Ave
Suite 102 B
Tualatin, OR 97062-8354

Mailing address

19767 SW 72ND Ave
Suite 102 B
Tualatin, OR 97062-8354
Phone (503) 885-1480

National Provider Directory

National Provider Directory

Locations

19767 SW 72nd Ave
Ste 102B
Tualatin, OR 97062
Phone (503) 885-1480

NPI Registry JSON

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

{
    "created_epoch": "1256688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303344000000",
    "number": "1619203486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19767 SW 72ND AVE",
            "address_2": "SUITE 102 B",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970628354",
            "telephone_number": "503-885-1480",
            "fax_number": "503-885-2129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19767 SW 72ND AVE",
            "address_2": "SUITE 102 B",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970628354",
            "telephone_number": "503-885-1480",
            "fax_number": "503-885-2129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLEN FINEMAN PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-28",
        "last_updated": "2011-04-21",
        "status": "A",
        "authorized_official_last_name": "FINEMAN",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "503-885-1480",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "OR",
            "license": "1009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tualatin, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2011; 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.