Active NPI
Rene Changsut, RKT
- Kinesiotherapist
- Portland, OR
National Provider Identifier
1700833340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Kinesiotherapist
- License
- 1115
- Practice address
- 1007 E Burnside
Portland, OR 97214 - Phone
- (503) 762-1522
- NPI assigned
- May 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Kinesiotherapist | 226300000X | 1115 | Primary |
Addresses
Primary practice location
1007 E Burnside
Portland, OR 97214
Mailing address
1841 SE 150TH Avenue
Portland, OR 97233
Phone (503) 762-1522
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1700833340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1841 SE 150TH AVENUE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97233",
"telephone_number": "503-762-1522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1007 E BURNSIDE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97214",
"telephone_number": "503-762-1522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANGSUT",
"first_name": "RENE",
"name_prefix": "Mr.",
"credential": "RKT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-28",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "226300000X",
"taxonomy_group": "",
"desc": "Kinesiotherapist",
"state": null,
"license": "1115",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.