Roots Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

3360 Issued in OR

Legal business name

ROOTS PHYSICAL THERAPY LLC

Practice address

7915 NE Siskiyou St
Portland, OR 97213-6571

Phone

(503) 260-5397

NPI assigned

Apr 9, 2012

Organization subpart

No

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

Authorized official

Name

Sara Ulrich

Title

Owner/Physical Therapist

Phone

(503) 260-5397

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1333929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646697600000",
    "number": "1851657480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7915 NE SISKIYOU ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972136571",
            "telephone_number": "503-260-5397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7915 NE SISKIYOU ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972136571",
            "telephone_number": "503-260-5397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTS PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-09",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A",
        "authorized_official_last_name": "ULRICH",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "503-260-5397"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "OR",
            "license": "3360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roots Dental LLC
• Roots Dental Stark LLC
• Roots Foundational Counseling LLC
• Roots Health Clinic LLC
• Roots Orthodontics LLC
• Roots Therapy NW LLC
• Robert Whitney Rope, M.D.
• India Roper-Moyes
• Alonzo Steve Roper Jr.
• Whitney Roper, M.D.

• Physical Therapy Clinic/Center in Portland, OR
• Providers in Portland, OR by specialty
• Physical Therapy Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; 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.