Ellen Fineman, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1009 Issued in OR

Practice address

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

Phone

(503) 885-1480

Fax

(503) 885-2129

NPI assigned

Oct 24, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gateway Sports Medicine & Rehabilitation PC

  • Physical Therapist
  • Portland, OR
  • NPI 1972698892
  NPD (past)
• Walton Physical Therapy & Sports Medicine Inc

  • Rehabilitation Clinic/Center
  • Durham, OR
  • NPI 1871717611

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303344000000",
    "number": "1639253255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19767 SW 72ND AVE",
            "address_2": "SUITE 102B",
            "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 102B",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970628354",
            "telephone_number": "503-885-1480",
            "fax_number": "503-885-2129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINEMAN",
        "first_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2011-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "1009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Theodora Farrow, MSW
• Deborah Lee Ferguson, OTR/L LICENSED OCCUP
• Kathi M Fieken
• Kathleen Louise Fielder, M.D.
• Julie A Fiene Yeager, MD
• Madison Fiorentino, ABA
• Eva Firth
• Fred Fischer, D.M.D.
• Gregory James Penn Fischer, PHD, LMFT
• Michael Joseph Fisher, FNP-BC

• Physical Therapist in Tualatin, OR
• Providers in Tualatin, OR by specialty
• Physical Therapist in Oregon

• 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.