NPIMap

Organization Active NPI

Westside Spine & Sports Physical Therapy

Doing business as Westside Physical Therapy

  • Physical Therapy Clinic/Center
  • Beaverton, OR
National Provider Identifier
1841226263
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
19746 Issued in OR
Legal business name
WESTSIDE SPINE & SPORTS PHYSICAL THERAPY
Doing business as
Westside Physical Therapy
Practice address
16265 NW Cornell Rd
Suite 100
Beaverton, OR 97006-4868
Phone
(503) 466-9800
Fax
(503) 466-9817
NPI assigned
Jun 25, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
James Joseph Cenova, PTNPI 1255315511
Title
Managing Member
Phone
(503) 466-9800

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)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 19746 OR Primary

Addresses

Primary practice location

16265 NW Cornell Rd
Suite 100
Beaverton, OR 97006-4868

Mailing address

16265 NW Cornell Rd
Suite 100
Beaverton, OR 97006-4868
Phone (503) 466-9800

Other names 1

  • Westside Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

16265 NW Cornell Rd
Ste 100
Beaverton, OR 97006
Phone (503) 466-9800

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841226263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16265 NW CORNELL RD",
            "address_2": "SUITE 100",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970064868",
            "telephone_number": "503-466-9800",
            "fax_number": "503-466-9817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16265 NW CORNELL RD",
            "address_2": "SUITE 100",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970064868",
            "telephone_number": "503-466-9800",
            "fax_number": "503-466-9817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE SPINE & SPORTS PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CENOVA",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "503-466-9800",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "OR",
            "license": "19746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westside Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.