Rio Rehabilitation Clinic LLC

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

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

Organization subpart

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500706674",
            "state": "OR"
        }
    ],
    "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": []
}

• Taylor Rink, MS, RDN, LD
• Aaron Justin Rinta, DMD
• Joel G Rinta, CP
• Emrys Rintoul
• Rio Counseling, Inc.
• Brenda Lynn Riojas, RD, FAND
• Mary Alice Riordan, RDH
• Nathalie Rios Carreon
• Sandra Rios-Ayala, CF-SLP
• Maya Rios, ND

• Rehabilitation Chiropractor in Portland, OR
• Providers in Portland, OR by specialty
• Rehabilitation Chiropractor in Oregon

• 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.

Verify at the official NPI Registry.