Stark PT Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1472 Issued in OR

Legal business name

STARK PT INC

Practice address

3903 SW Kelly Suite 210
Portland, OR 97239-4385

Phone

(503) 223-8157

Fax

(503) 248-4730

NPI assigned

Mar 4, 2008

Organization subpart

No

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

Authorized official

Name

Sherri Whitaker

Title

Office Manager

Phone

(503) 223-8157

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elizabeth Allen, P.T.

  • Physical Therapist
  • Portland, OR
  • NPI 1982636304
  NPD (past)
• Laila Deardorff, P.T.

  • Physical Therapist
  • Lake Oswego, OR
  • NPI 1366478299
  NPD (past)
• Julie Gudmestad, P.T.

  • Physical Therapist
  • Portland, OR
  • NPI 1427274612
  NPD (past)

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204588800000",
    "number": "1841460052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3903 SW KELLY SUITE 210",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972394385",
            "telephone_number": "503-223-8157",
            "fax_number": "503-248-4730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3903 SW KELLY SUITE 210",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972394385",
            "telephone_number": "503-223-8157",
            "fax_number": "503-248-4730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARK PT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-04",
        "last_updated": "2008-03-04",
        "status": "A",
        "authorized_official_last_name": "WHITAKER",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "503-223-8157"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "1472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Luther Starbird, L.AC.
• Zachary Nathan Starbuck
• Delta Naolin Starchild, PWS
• Rachel Elizabeth Starck, MA LICENSED PROFESSI
• Stark Medical Diagnostic Center, Inc
• Jacob David Stark
• Karen Stark, M.D.
• Sajara Stark, CN
• Shane Stark, MEDICAL MASSAGE LMT
• Stuart G Stark, PT

• 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 4, 2008; 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.