Active NPI
Ellen Fineman Physical Therapy Inc
- Physical Therapy Clinic/Center
- Tualatin, OR
National Provider Identifier
1619203486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 1009
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.