Organization Active NPI

Dan R Nafziger L P T P C

Doing business as Sylvan Hill Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Portland, OR
National Provider Identifier
1720387566
Registry record updated Mar 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
1035 Issued in OR
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, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2011

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 CNPI 1215117734
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000898MedicaidOR

Other names 1

  • Sylvan Hill Physical Therapy Inc Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.