Beata Moreno, PT PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3976 Issued in OR

Legal business name

BEATA MORENO, PT PC

Practice address

4031 SE Hawthorne Blvd
Portland, OR 97214-5243

Phone

(503) 246-8282

Fax

(503) 231-6605

NPI assigned

Jul 2, 2006

Last updated

Mar 26, 2013By 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

Beata Moreno, P.T.

Title

President

Phone

(503) 246-8282

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Beata Moreno, PT PC, Holistic Physical Therapy Former legal business name

Locations

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364256000000",
    "number": "1831128651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4031 SE HAWTHORNE BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972145243",
            "telephone_number": "503-246-8282",
            "fax_number": "503-231-6605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4031 SE HAWTHORNE BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972145243",
            "telephone_number": "503-246-8282",
            "fax_number": "503-231-6605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEATA MORENO, PT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2013-03-26",
        "status": "A",
        "authorized_official_last_name": "MORENO",
        "authorized_official_first_name": "BEATA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-246-8282",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "3976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "116217",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beata Moreno, PT PC, Holistic Physical Therapy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Steven Joseph Beardsley, DNP
• Denise Marie Beasley, PHARM.D.
• Geoffrey Enochs Beasley, MD
• Kara M Beasley, PA-C
• Madison Beasley, PMHNP, RN
• Natalie Therese Beatie
• Joseph Canfield Beattie, O.D.
• Lisa Beattie, PA
• Jeffrey Brian Beatty
• Jessica Rose Beatty

• Physical Therapist in Portland, OR
• Providers in Portland, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; 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.