NPIMap

Organization Active NPI

Ultra Physical Therapy & Hand Center, LLC

  • Physical Therapy Clinic/Center
  • Beaverton, OR
National Provider Identifier
1669977898
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ULTRA PHYSICAL THERAPY & HAND CENTER, LLC
Practice address
3905 SW 117TH Ave
Beaverton, OR 97005-8905
Phone
(619) 962-2159
NPI assigned
Mar 29, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Authorized official

Name
Ms. Aurore Lariven
Title
Co-Owner
Phone
(971) 249-3168

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

3905 SW 117TH Ave
Beaverton, OR 97005-8905

Mailing address

3905 SW 117TH Ave Ste a
Beaverton, OR 97005-8905
Phone (971) 249-3168

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180606001715 OR Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1951666346 Receives reassigned benefits from 9 practitioners
Practice locations: Beaverton, OR

National Provider Directory

National Provider Directory

Locations

3905 SW 117th Ave
Ste A
Beaverton, OR 97005
Phone (503) 662-6403

3905 SW 117th Ave
Beaverton, OR 97005
Phone (619) 962-2159

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745366400000",
    "number": "1669977898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3905 SW 117TH AVE STE A",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970058905",
            "telephone_number": "971-249-3168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3905 SW 117TH AVE",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970058905",
            "telephone_number": "619-962-2159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTRA PHYSICAL THERAPY & HAND CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-29",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A",
        "authorized_official_last_name": "LARIVEN",
        "authorized_official_first_name": "AURORE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "971-249-3168",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.