NPIMap

Organization Active NPI

Cascade Gresham Physical Therapy, Inc.

  • Specialist
  • Gresham, OR
National Provider Identifier
1689657769
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CASCADE GRESHAM PHYSICAL THERAPY, INC.
Practice address
19201 SE Division St
Gresham, OR 97030-5227
Phone
(503) 669-2500
Fax
(503) 661-4113
NPI assigned
Nov 22, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Chris Schnepel
Title
Owner/Manager
Phone
(503) 669-2500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

19201 SE Division St
Gresham, OR 97030-5227

Mailing address

19201 SE Division St
Gresham, OR 97030-5227
Phone (503) 669-2500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040205000103 OR Part B Supplier - Clinic/Group Practice 8022901966 Receives reassigned benefits from 3 practitioners
Practice locations: Gresham, OR

National Provider Directory

National Provider Directory

Locations

19201 SE Division St
Gresham, OR 97030
Phone (503) 669-0978

19201 SE Division St
Ste 100
Gresham, OR 97030
Phone (503) 405-8235

9310 SE Stark St
Portland, OR 97216
Phone (503) 255-1500

Practitioners & affiliated clinicians

Practitioners 14

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 14

NPI Registry JSON

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689657769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19201 SE DIVISION ST",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970305227",
            "telephone_number": "503-669-2500",
            "fax_number": "503-661-4113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19201 SE DIVISION ST",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970305227",
            "telephone_number": "503-669-2500",
            "fax_number": "503-661-4113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE GRESHAM PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHNEPEL",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "503-669-2500"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gresham, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.