Avatar Healing Arts

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

60228 Issued in OR

Legal business name

AVATAR HEALING ARTS

Practice address

3115 NE Sandy Blvd
Apt 231
Portland, OR 97232-2776

Phone

(503) 701-8766

NPI assigned

Jun 9, 2014

Organization subpart

No

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

Authorized official

Name

Patrick Michael Geraghty, DPT

Title

Doctor of Physical Therapy

Phone

(406) 370-8974

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402272000000",
    "number": "1780097642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3115 NE SANDY BLVD",
            "address_2": "APT 231",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972322776",
            "telephone_number": "503-701-8766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 NE SANDY BLVD",
            "address_2": "APT 231",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972322776",
            "telephone_number": "503-701-8766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVATAR HEALING ARTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-09",
        "last_updated": "2014-06-09",
        "status": "A",
        "authorized_official_last_name": "GERAGHTY",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "DOCTOR OF PHYSICAL THERAPY",
        "authorized_official_telephone_number": "406-370-8974",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "OR",
            "license": "60228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avamere Bethany Cottages Operations, LLC
• Avamere Bethany Operations, LLC
• Lyudmila N Avanesov, QMHA
• Adam Avant, MD
• Rupali Surendra Avasare, M.D.
• Larisa Avatyuk, LMT
• A P Aversano, D.O.
• Mikayla Avery-Hull
• Anne Katharine Avery, MD
• Patricia Monique Keiki O Avery

• Physical Therapy Clinic/Center in Portland, OR
• Providers in Portland, OR by specialty
• Physical Therapy Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2014; 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.