Resilient Runner Health and Wellness LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

RESILIENT RUNNER HEALTH AND WELLNESS LLC

Practice address

1260 SE Lambert St Ste 101
Portland, OR 97202-6386

Phone

(503) 482-7234

Fax

(503) 482-7232

NPI assigned

Aug 2, 2024

Organization subpart

No

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

Authorized official

Name

Jennifer Davis, PT, DPT, OCSNPI 1881840692

Title

Owner

Phone

(503) 482-7234

Specialties & licenses 1

Addresses

Other names 1

• Oregon Running Clinic Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Lynne Davis, DPT

  • Orthopedic Physical Therapist
  • Portland, OR
  • NPI 1881840692
  NPD Authorized official

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

{
    "created_epoch": "1722556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722556800000",
    "number": "1639909047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 S STATE ST STE V337",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970343932",
            "telephone_number": "503-482-7234",
            "fax_number": "503-482-7232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 SE LAMBERT ST STE 101",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972026386",
            "telephone_number": "503-482-7234",
            "fax_number": "503-482-7232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENT RUNNER HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-02",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-482-7234",
        "authorized_official_credential": "PT, DPT, OCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oregon Running Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ofelio Flores Resendiz Jr.
• Rachelle Ann Reser
• Reset to Joy
• Resilience & Renewal Therapy, LLC
• Resilient & Rooted LLC
• Lindy D Resner, LCSW
• Barbara E. Resnick, M.D.
• Ireland Resnick
• Michael Philip Resnick, MD
• Miriam Resnick, MSW

• Physical Therapy Clinic/Center in Portland, OR
• Providers in Portland, OR by specialty
• Physical Therapy Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; 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.