Active NPI
Israel Sostrin, PT
- Physical Therapist
- Portland, OR
National Provider Identifier
1740219500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4725
- Practice address
- 5909 SE Division St Ste 3
Portland, OR 97206-1470 - Phone
- (503) 231-3633
- Fax
- (503) 305-4752
- NPI assigned
- Jul 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4725 | OR | Primary |
Addresses
Primary practice location
5909 SE Division St Ste 3
Portland, OR 97206-1470
Mailing address
PO Box 10602
Portland, OR 97296-0602
Phone (503) 327-4756
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 858185000 | Other | OR | BCBSO |
| 611036100 | Other | OR | US DOL (ACS FISCAL AGENT |
| 3080245-01 | Other | OR | FC65, PC65, M/C ADV PPO |
| 9317339 | Other | OR | PHCS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5909 SE Division St
Suite 3
Portland, OR 97206-1470
Phone (503) 231-3633
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4725 | OR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrative Spine & Body Medicine | Physical Therapist | Current | Accepting new patients |
Locations
5909 SE Division St
Portland, OR 97206
Phone (503) 231-3633
5909 SE Division St
Ste 3
Portland, OR 97206
Phone (503) 231-3633
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Wholeness in Motion
- Physical Medicine & Rehabilitation Physician
- Portland, OR
- NPI 1417270521
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690934400000",
"number": "1740219500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10602",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972960602",
"telephone_number": "503-327-4756",
"fax_number": "503-231-6605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5909 SE DIVISION ST STE 3",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972061470",
"telephone_number": "503-231-3633",
"fax_number": "503-305-4752"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOSTRIN",
"first_name": "ISRAEL",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-02",
"last_updated": "2023-08-02",
"certification_date": "2023-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "4725",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSO",
"identifier": "858185000",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US DOL (ACS FISCAL AGENT",
"identifier": "611036100",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FC65, PC65, M/C ADV PPO",
"identifier": "3080245-01",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "9317339",
"state": "OR"
}
],
"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 Aug 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.