NPIMap

Organization Active NPI

Nunpad LLC

  • Physical Therapy Clinic/Center
  • Portland, OR
National Provider Identifier
1639534266
Registry record updated Dec 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
310983 Issued in OR
Legal business name
NUNPAD LLC
Practice address
1335 NE 63Rd Ave
Portland, OR 97213-4905
Phone
(619) 507-7221
NPI assigned
Dec 28, 2015
Last updated
Dec 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2015

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

Authorized official

Name
David NunnNPI 1548512049
Title
Otr
Phone
(971) 219-3656

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 310983 OR Primary

Addresses

Primary practice location

1335 NE 63Rd Ave
Portland, OR 97213-4905

Mailing address

1335 NE 63Rd Ave
Portland, OR 97213-4905
Phone (619) 507-7221

National Provider Directory

National Provider Directory
Tax ID family
Nunpad2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

  • Nunpad
    • Physical Rehabilitation Occupational Therapist
    • Portland, OR
    • NPI 1295107647
    NPD tax ID

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1451260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451260800000",
    "number": "1639534266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 NE 63RD AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972134905",
            "telephone_number": "619-507-7221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 NE 63RD AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972134905",
            "telephone_number": "619-507-7221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUNPAD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-28",
        "last_updated": "2015-12-28",
        "status": "A",
        "authorized_official_last_name": "NUNN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OTR",
        "authorized_official_telephone_number": "971-219-3656"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "OR",
            "license": "310983",
            "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 Dec 28, 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.

Verify at the official NPI Registry.