Active NPI
Anuja Balakrishnan
- Physical Therapist
- Portland, OR
National Provider Identifier
1841836210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 63460
- Practice address
- 511 SW 10TH Ave Ste 101
Portland, OR 97205-2700 - Phone
- (503) 294-7463
- NPI assigned
- Nov 20, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05011033A | IN | |
| Physical Therapist | 225100000X | 63460 | OR | Primary |
Addresses
Primary practice location
511 SW 10TH Ave Ste 101
Portland, OR 97205-2700
Mailing address
13388 District Pkwy Unit 205
Fishers, IN 46037-7750
Phone (317) 410-7170
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05011033A | IN | MD | Physical Therapist |
| 63460 | OR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574208000000",
"number": "1841836210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13388 DISTRICT PKWY UNIT 205",
"city": "FISHERS",
"state": "IN",
"postal_code": "460377750",
"telephone_number": "317-410-7170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 SW 10TH AVE STE 101",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972052700",
"telephone_number": "503-294-7463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALAKRISHNAN",
"first_name": "ANUJA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-20",
"last_updated": "2019-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05011033A",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "63460",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.