Organization Active NPI

Headquarters Physical Therapy LLC

  • Physical Therapist
  • Beaverton, OR
National Provider Identifier
1760099725
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
HEADQUARTERS PHYSICAL THERAPY LLC
Practice address
5465 SW Western Ave Ste H
Beaverton, OR 97005-4179
Phone
(503) 610-9281
Fax
(971) 339-7071
NPI assigned
Sep 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

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

Authorized official

Name
Dr. Ryan Baugus, DPT
Title
Physical Therapist/Ceo
Phone
(503) 610-9281

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

5465 SW Western Ave Ste H
Beaverton, OR 97005-4179

Mailing address

5465 SW Western Ave Ste H
Beaverton, OR 97005-4179
Phone (503) 610-9281

National Provider Directory

National Provider Directory

Locations

5465 SW Western Ave
Ste H
Beaverton, OR 97005
Phone (503) 610-9281

4356 SW Multnomah Blvd
Portland, OR 97219
Phone 5036109281 ext. 702

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1600905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626220800000",
    "number": "1760099725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5465 SW WESTERN AVE STE H",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970054179",
            "telephone_number": "503-610-9281",
            "fax_number": "971-339-7071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5465 SW WESTERN AVE STE H",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970054179",
            "telephone_number": "503-610-9281",
            "fax_number": "971-339-7071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEADQUARTERS PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-24",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A",
        "authorized_official_last_name": "BAUGUS",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/CEO",
        "authorized_official_telephone_number": "503-610-9281",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; 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.