Active NPI
Dan R Nafziger L P T P C
Doing business as Sylvan Hill Physical Therapy Inc
- Physical Therapy Clinic/Center
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 1035
- Legal business name
- DAN R NAFZIGER L P T P C
- Doing business as
- Sylvan Hill Physical Therapy Inc
- Practice address
- 5415 SW Westgate Dr
Suite LL3
Portland, OR 97221-2409 - Phone
- (503) 297-3003
- Fax
- (503) 297-9414
- NPI assigned
- Mar 18, 2011
- Last updated
- Mar 18, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dan R Nafziger, L P T P C
- Title
- Physical Therapist
- Phone
- (503) 297-3003
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 1035 | OR | Primary |
Addresses
Primary practice location
5415 SW Westgate Dr
Suite LL3
Portland, OR 97221-2409
Mailing address
5415 SW Westgate Dr
Suite LL3
Portland, OR 97221-2409
Phone (503) 297-3003
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000898 | Medicaid | OR |
Other names 1
- Sylvan Hill Physical Therapy Inc
National Provider Directory
National Provider DirectoryLocations
5415 SW Westgate Dr
#3
Portland, OR 97221
Phone (503) 297-3003
5415 SW Westgate Dr
Ste LL3
Portland, OR 97221
Phone (503) 297-3003
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Physical Therapist
- Portland, OR
- NPI 1215117734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300406400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1300406400000",
"number": "1720387566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5415 SW WESTGATE DR",
"address_2": "SUITE LL3",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972212409",
"telephone_number": "503-297-3003",
"fax_number": "503-297-9414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5415 SW WESTGATE DR",
"address_2": "SUITE LL3",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972212409",
"telephone_number": "503-297-3003",
"fax_number": "503-297-9414"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAN R NAFZIGER L P T P C",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-18",
"last_updated": "2011-03-18",
"status": "A",
"authorized_official_last_name": "NAFZIGER",
"authorized_official_first_name": "DAN",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PHYSICAL THERAPIST",
"authorized_official_telephone_number": "503-297-3003",
"authorized_official_credential": "L P T P C"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "OR",
"license": "1035",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000898",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Sylvan Hill Physical Therapy Inc",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Mar 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.