Active NPI
Rio Rehabilitation Clinic LLC
- Rehabilitation Chiropractor
- Portland, OR
National Provider Identifier
1659964013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- Legal business name
- RIO REHABILITATION CLINIC LLC
- Practice address
- 16742 SE Division St
Portland, OR 97236-1414 - Phone
- (503) 386-1993
- Fax
- (503) 386-1993
- NPI assigned
- Feb 17, 2021
- Last updated
- Feb 17, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Felipe Raul Rodriguez, DC
- Title
- Owner
- Phone
- (817) 247-8717
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | Primary |
Addresses
Primary practice location
16742 SE Division St
Portland, OR 97236-1414
Mailing address
16742 SE Division St
Portland, OR 97236-1414
Phone (503) 386-1993
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | Portland | Direct |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Chiropractor
- Hillsboro, OR
- NPI 1730415225
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613520000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1613520000000",
"number": "1659964013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16742 SE DIVISION ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972361414",
"telephone_number": "503-386-1993",
"fax_number": "503-386-1993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16742 SE DIVISION ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972361414",
"telephone_number": "503-386-1993",
"fax_number": "503-386-1993"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIO REHABILITATION CLINIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-17",
"last_updated": "2021-02-17",
"certification_date": "2021-02-17",
"status": "A",
"authorized_official_last_name": "RODRIGUEZ",
"authorized_official_first_name": "FELIPE",
"authorized_official_middle_name": "RAUL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "817-247-8717",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "Portland",
"affiliation": "N",
"endpointDescription": "Practice Fusion",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "EHR",
"address_1": "16742 SE Division St",
"city": "Portland",
"state": "OR",
"country_code": "US",
"postal_code": "972361414",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Feb 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.