Active NPI
Shokunin Performance Rehab LLC
- Physical Therapist
- Lake Oswego, OR
National Provider Identifier
1831976646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- SHOKUNIN PERFORMANCE REHAB LLC
- Practice address
- 19240 Maree CT
Lake Oswego, OR 97035-8338 - Phone
- (503) 495-4833
- NPI assigned
- Sep 14, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andrew Murakami
- Title
- Owner
- Phone
- (503) 495-4833
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
19240 Maree CT
Lake Oswego, OR 97035-8338
Mailing address
2355 State St Ste 101
Salem, OR 97301-4541
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Happy Valley, OR
- NPI 1467193847
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694649600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1694649600000",
"number": "1831976646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2355 STATE ST STE 101",
"city": "SALEM",
"state": "OR",
"postal_code": "973014541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19240 MAREE CT",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970358338",
"telephone_number": "503-495-4833"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHOKUNIN PERFORMANCE REHAB LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-14",
"last_updated": "2023-09-14",
"certification_date": "2023-09-14",
"status": "A",
"authorized_official_last_name": "MURAKAMI",
"authorized_official_first_name": "ANDREW",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "503-495-4833"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Oswego, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.