NPIMap

Organization Active NPI

Ultra Physical Therapy & Hand Center II LLC

  • Physical Therapy Clinic/Center
  • Lake Oswego, OR
National Provider Identifier
1679218317
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 II LLC
Practice address
16849 SW 65TH Ave
Lake Oswego, OR 97035-7865
Phone
(971) 249-3168
NPI assigned
Apr 27, 2022
Last updated
Apr 23, 2025By the provider in NPPES
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

16849 SW 65TH Ave
Lake Oswego, OR 97035-7865

Mailing address

PO Box 704
Beaverton, OR 97075-0704
Phone (503) 662-6403

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230704000270 OR Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2961861315 Receives reassigned benefits from 2 practitioners
Practice locations: Lake Oswego, OR

National Provider Directory

National Provider Directory

Locations

16841 SW 65th Ave
Lake Oswego, OR 97035

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1651017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745366400000",
    "number": "1679218317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 704",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970750704",
            "telephone_number": "503-662-6403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16849 SW 65TH AVE",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970357865",
            "telephone_number": "971-249-3168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTRA PHYSICAL THERAPY & HAND CENTER II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-27",
        "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 Lake Oswego, 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.