North Lake Physical Therapy and Rehabilitation, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

NORTH LAKE PHYSICAL THERAPY AND REHABILITATION, INC.

Practice address

101 S State St Ste 200G
Lake Oswego, OR 97034-3900

Phone

(503) 636-3028

Fax

(503) 636-1837

NPI assigned

Jan 24, 2007

Organization subpart

No

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

Authorized official

Name

Michael Choate, MSPT

Title

President, North Lake Physical Ther

Phone

(503) 636-3028

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kosta, Choate and Pierson, Inc. Former legal business name

Locations

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322697600000",
    "number": "1841345352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S STATE ST STE 200G",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970343900",
            "telephone_number": "503-636-3028",
            "fax_number": "503-636-1837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S STATE ST STE 200G",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970343900",
            "telephone_number": "503-636-3028",
            "fax_number": "503-636-1837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH LAKE PHYSICAL THERAPY AND REHABILITATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2011-12-01",
        "status": "A",
        "authorized_official_last_name": "CHOATE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT, NORTH LAKE PHYSICAL THER",
        "authorized_official_telephone_number": "503-636-3028",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "234887",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kosta, Choate and Pierson, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Viengkeo T Noimany, DPM
• Laila Marie-Nematbaksh Noll, D.C.
• Jane Tharpe Norman
• Lauren Marie Norris
• North Lake Physical Therapy and Rehab LP
• Amarkaur Northrup, LAC.
• Northwest Endocrinology, LLC
• Northwest Medical Clinic PC
• Northwest Mobility LLC
• Northwest Surgical Specialists PC

• Physical Therapist in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; 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.