Superb Physical Therapy and Wellness LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

SUPERB PHYSICAL THERAPY AND WELLNESS LLC

Practice address

16672 NW Stoller Dr
Portland, OR 97229-7376

Phone

(786) 374-7070

NPI assigned

Jan 19, 2021

Last updated

Jan 19, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sara Zielechowski, DPTNPI 1609003862

Title

Owner/Physical Therapist

Phone

(786) 374-7070

Specialties & licenses 1

Addresses

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.

• Sara Zielechowski, DPT

  • Physical Therapist
  • Boca Raton, FL
  • NPI 1609003862
  NPD Authorized official

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

{
    "created_epoch": "1611014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611014400000",
    "number": "1790375244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16672 NW STOLLER DR",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972297376",
            "telephone_number": "786-374-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16672 NW STOLLER DR",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972297376",
            "telephone_number": "786-374-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERB PHYSICAL THERAPY AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-19",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A",
        "authorized_official_last_name": "ZIELECHOWSKI",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "786-374-7070",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Sunwold
• Iris Sunwoo, DNP, PMHNP
• Kyung Sunwoo, DMD
• Andrew F Sunwood, DO
• Elizabeth Rachel Super, MD
• Lenore Supnet, D.M.D.
• Kanapathy - Suppaiah, RN, PMHNP
• Ryne Supplitt
• Raveena Supra
• Kellie Supriano, M.S.

• 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 Jan 19, 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.