NPIMap

Organization Active NPI

Damascus Physical Therapy and Wellness Center

  • Physical Therapy Clinic/Center
  • Sandy, OR
National Provider Identifier
1851613772
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
DAMASCUS PHYSICAL THERAPY AND WELLNESS CENTER
Practice address
36840 Industrial Way Ste C
Sandy, OR 97055-9254
Phone
(503) 658-8046
NPI assigned
Feb 19, 2010
Last updated
Oct 7, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

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

Authorized official

Name
Mark ChristensenNPI 1013087683
Title
Owner
Phone
(503) 658-8046

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

36840 Industrial Way Ste C
Sandy, OR 97055-9254

Mailing address

PO Box 692
Boring, OR 97009-0692

National Provider Directory

National Provider Directory

Locations

20330 SE Highway 212
Damascus, OR 97089
Phone (503) 349-9179

36840 Industrial Way
Ste C
Sandy, OR 97055
Phone (503) 658-8046

Practitioners & affiliated clinicians

Practitioners 1

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": "1266537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602028800000",
    "number": "1851613772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 692",
            "city": "BORING",
            "state": "OR",
            "postal_code": "970090692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36840 INDUSTRIAL WAY STE C",
            "city": "SANDY",
            "state": "OR",
            "postal_code": "970559254",
            "telephone_number": "503-658-8046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAMASCUS PHYSICAL THERAPY AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-19",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-658-8046"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.