Organization Active NPI

Rio Rehabilitation Clinic LLC

  • Rehabilitation Chiropractor
  • Portland, OR
National Provider Identifier
1659964013
Registry record updated Feb 17, 2021
On this page

Key facts

NPPES NPI Registry
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
Last updated
Feb 17, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2021

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

Authorized official

Name
Mr. Felipe Raul Rodriguez, DCNPI 1730415225
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)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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

TypeEndpointUseAffiliation
SOAP URL Portland Direct

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.