Active NPI
Nancy Ungoco, PT
- Physical Therapist
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3953
- Practice address
- 4475 SW Scholls Ferry Rd Ste 258
Portland, OR 97225-1958 - Phone
- (503) 292-5882
- Fax
- (503) 292-5899
- NPI assigned
- Jul 15, 2005
- Sex
- Female
- Sole proprietor
- No
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 | 3953 | OR | Primary |
Addresses
Primary practice location
4475 SW Scholls Ferry Rd Ste 258
Portland, OR 97225-1958
Mailing address
4475 SW Scholls Ferry Rd Ste 258
Portland, OR 97225-1958
Phone (503) 292-5882
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, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12345 SW Horizon Blvd
Suite 57
Beaverton, OR 97007-9475
Phone (503) 216-8820
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3953 | OR | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services - Oregon | Physical Therapist | Current | Accepting new patients |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| H & P Goodell, Inc. | Past | Accepting new patients |
Locations
12345 SW Horizon Blvd
Ste 57
Beaverton, OR 97007
Phone (503) 216-8820
1003 N Providence Dr
Ste 325
Newberg, OR 97132
Phone (503) 216-1661
5050 NE Hoyt St
Ste 454
Portland, OR 97213
Phone (503) 215-6405
1321 NE 99th Ave
Ste 200
Portland, OR 97220
Phone (503) 215-4250
960 N 16th St
Ste 304
Springfield, OR 97477
Phone (541) 744-6172
Organizations & group practices 4
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.
-
- General Practice Physician
- Lake Oswego, OR
- NPI 1023488343
-
- Obstetrics & Gynecology Physician
- Portland, OR
- NPI 1154427821
Physical Therapist
-
- Psychiatry Physician
- Portland, OR
- NPI 1760177737
-
- Physical Therapy Clinic/Center
- Portland, OR
- NPI 1013908169
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200528000000",
"number": "1780683318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4475 SW SCHOLLS FERRY RD STE 258",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972251958",
"telephone_number": "503-292-5882",
"fax_number": "503-292-5899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4475 SW SCHOLLS FERRY RD STE 258",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972251958",
"telephone_number": "503-292-5882",
"fax_number": "503-292-5899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UNGOCO",
"first_name": "NANCY",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-15",
"last_updated": "2008-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "3953",
"primary": true
}
],
"identifiers": [],
"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 Jan 17, 2008; 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.