Active NPI
Asumi Ann Ohgushi, PT, DPT
- Physical Therapy Clinic/Center
- Portland, OR
National Provider Identifier
1639780646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 63820
- Practice address
- 4424 NE Glisan St
Portland, OR 97213-2331 - Phone
- (503) 477-5167
- NPI assigned
- Aug 13, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 63820 | OR | Primary |
Addresses
Primary practice location
4424 NE Glisan St
Portland, OR 97213-2331
Mailing address
1729 NE 17TH Ave Apt 26
Portland, OR 97212-4504
Phone (971) 645-0262
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KJB Consulting Corporation | Physical Therapy | Current | Accepting new patients |
Locations
1427 NW Flanders St
Ste A
Portland, OR 97209
Phone (503) 473-6725
2525 NW Lovejoy St
Ste 202
Portland, OR 97210
Phone (503) 223-3078
3934 NE Martin Luther King Jr Blvd
Ste 203
Portland, OR 97212
Phone 5032231856301
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Portland, OR
- NPI 1497172373
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597276800000",
"number": "1639780646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1729 NE 17TH AVE APT 26",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972124504",
"telephone_number": "971-645-0262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4424 NE GLISAN ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972132331",
"telephone_number": "503-477-5167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OHGUSHI",
"first_name": "ASUMI",
"middle_name": "ANN",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-13",
"last_updated": "2020-08-13",
"certification_date": "2020-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "OR",
"license": "63820",
"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 Aug 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.