The Oregon Physical Therapy & Sports Medicine Center

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1907 Issued in OR

Legal business name

THE OREGON PHYSICAL THERAPY & SPORTS MEDICINE CENTER

Practice address

3620 NE 122ND Ave
Suite C
Portland, OR 97230

Phone

(503) 252-4100

Fax

(503) 252-3390

NPI assigned

Feb 26, 2007

Last updated

Jul 25, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Marc M Morishige, PHYSICAL THERAPISTNPI 1649595786

Title

Physical Therapist

Phone

(503) 252-4100

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Marc Masayoshi Morishige, PT

  • Physical Therapist
  • Gresham, OR
  • NPI 1649595786
  NPD (past) Authorized official
• Leonardo Tony Porreco, PT

  • Orthopedic Physical Therapist
  • Portland, OR
  • NPI 1215101555
  NPD (past)

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216944000000",
    "number": "1700912235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620 NE 122ND AVE",
            "address_2": "SUITE C",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97230",
            "telephone_number": "503-252-4100",
            "fax_number": "503-252-3390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 NE 122ND AVE",
            "address_2": "SUITE C",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97230",
            "telephone_number": "503-252-4100",
            "fax_number": "503-252-3390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE OREGON PHYSICAL THERAPY & SPORTS MEDICINE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2008-07-25",
        "status": "A",
        "authorized_official_last_name": "MORISHIGE",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "503-252-4100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "1907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Oregon Clinic PC
• The Oregon Clinic PC
• The Oregon Clinic, PC
• The Oregon Clinic, PC
• The Oregon Clinic, PC
• The Owl Den Massage and Bodywork LLC
• The Perpetual Dawn LLC
• The Pink Nut LLC (Skyline Health)
• The Point Psychiatry
• The Portland Clinic Laboratory

• Physical Therapist in Portland, OR
• Providers in Portland, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2008; 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.