PT Physical Therapy, Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1627 Issued in OR

Legal business name

PT PHYSICAL THERAPY, INC

Practice address

1050 SW Baseline St Ste A8
Hillsboro, OR 97123-3873

Phone

(503) 648-2441

NPI assigned

Jun 7, 2010

Organization subpart

No

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

Authorized official

Name

James Surface, MPT

Title

Owner

Phone

(503) 648-2441

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1275868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275868800000",
    "number": "1902126428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20449 SW TV HWY # 256",
            "city": "ALOHA",
            "state": "OR",
            "postal_code": "970061700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 SW BASELINE ST STE A8",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971233873",
            "telephone_number": "503-648-2441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PT PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-07",
        "last_updated": "2010-06-07",
        "status": "A",
        "authorized_official_last_name": "SURFACE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-648-2441",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "1627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Providence Health & Services - Oregon
• Providence Health & Services - Oregon
• Providence Health & Services - Oregon
• Providence Health & Services Oregon
• PT En Route, LLC
• Michael Ptak
• Brianne Puckett, LMT
• Debra Lynn Pugh, PMHNP-BC
• Elizabeth Pugsley, LPC
• Ronda L Pulse II, MD

• Physical Therapist in Hillsboro, OR
• Providers in Hillsboro, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2010; 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.