Active NPI
John William Arthur, PT
- Physical Medicine & Rehabilitation Physician
- Portland, OR
National Provider Identifier
1659485217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 0546
- Practice address
- 10201 SE Main St Ste 6
Portland, OR 97216-2937 - Phone
- (503) 255-7223
- NPI assigned
- Aug 19, 2006
- Sex
- Male
- Sole proprietor
- No
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 Medicine & Rehabilitation Physician | 208100000X | 0546 | OR | Primary |
Addresses
Primary practice location
10201 SE Main St Ste 6
Portland, OR 97216-2937
Mailing address
11500 NE 76TH St Ste A3
PMB 7
Vancouver, WA 98662-3901
Phone (360) 254-3663
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 650019286 | Other | RR MEDICARE | |
| 054984001 | Other | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0546 | OR | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Pacific Physical Therapy LTD | Physical Medicine & Rehabilitation | Past | Accepting new patients |
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 Medicine & Rehabilitation Physician
- Portland, OR
- NPI 1134233877
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239840000000",
"number": "1659485217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11500 NE 76TH ST STE A3",
"address_2": "PMB 7",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986623901",
"telephone_number": "360-254-3663",
"fax_number": "360-254-3719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10201 SE MAIN ST STE 6",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972162937",
"telephone_number": "503-255-7223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARTHUR",
"first_name": "JOHN",
"middle_name": "WILLIAM",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-19",
"last_updated": "2009-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "OR",
"license": "0546",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "650019286",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "054984001",
"state": null
}
],
"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 Apr 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.