Individual provider Active NPI

Samuel English, DPT

  • Pediatric Physical Therapist
  • Hillsboro, OR
National Provider Identifier
1891434130
Registry record updated Jun 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
64539 Issued in OR
Practice address
5289 NE Elam Young Pkwy Ste 140
Hillsboro, OR 97124-7551
Phone
(503) 263-8903
NPI assigned
Jun 3, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 64539 OR Primary

Addresses

Primary practice location

5289 NE Elam Young Pkwy Ste 140
Hillsboro, OR 97124-7551

Mailing address

113 N Elm St
Canby, OR 97013-3519
Phone (503) 263-8903

Other practice location 1

27501 SW 95th Ave Ste 960
Wilsonville, OR 97070-7713
Phone (503) 263-8903

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
64539ORMDPediatric Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1654214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654214400000",
    "number": "1891434130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 N ELM ST",
            "city": "CANBY",
            "state": "OR",
            "postal_code": "970133519",
            "telephone_number": "503-263-8903",
            "fax_number": "503-266-8632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5289 NE ELAM YOUNG PKWY STE 140",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971247551",
            "telephone_number": "503-263-8903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27501 SW 95th Ave Ste 960",
            "address_purpose": "LOCATION",
            "city": "Wilsonville",
            "state": "OR",
            "postal_code": "970707713",
            "country_code": "US",
            "telephone_number": "503-263-8903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENGLISH",
        "first_name": "SAMUEL",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-03",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "OR",
            "license": "64539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.