NPIMap

Organization Active NPI

Rockwood Orthopaedic & Sports Physical Therapy Clinic, PC

  • Physical Therapy Clinic/Center
  • Beaverton, OR
National Provider Identifier
1902249022
Registry record updated Jan 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
1053 Issued in OR
Legal business name
ROCKWOOD ORTHOPAEDIC & SPORTS PHYSICAL THERAPY CLINIC, PC
Practice address
3800 SW Cedar Hills Blvd
Suite 280a
Beaverton, OR 97005-2035
Phone
(503) 254-2652
Fax
(503) 254-2814
NPI assigned
Apr 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2016

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

Authorized official

Name
John Patrick Bonica, PT
Title
Owner
Phone
(503) 254-2652

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 1053 OR Primary

Addresses

Primary practice location

3800 SW Cedar Hills Blvd
Suite 280a
Beaverton, OR 97005-2035

Mailing address

3800 SW Cedar Hills Blvd
Suite 280a
Beaverton, OR 97005-2035
Phone (503) 254-2652

National Provider Directory

National Provider Directory

Locations

3800 SW Cedar Hills Blvd
Ste 280A
Beaverton, OR 97005
Phone (503) 254-2652

NPI Registry JSON

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

{
    "created_epoch": "1365379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452643200000",
    "number": "1902249022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 SW CEDAR HILLS BLVD",
            "address_2": "SUITE 280A",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970052035",
            "telephone_number": "503-254-2652",
            "fax_number": "503-254-2814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 SW CEDAR HILLS BLVD",
            "address_2": "SUITE 280A",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970052035",
            "telephone_number": "503-254-2652",
            "fax_number": "503-254-2814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKWOOD ORTHOPAEDIC & SPORTS PHYSICAL THERAPY CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-08",
        "last_updated": "2016-01-13",
        "status": "A",
        "authorized_official_last_name": "BONICA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-254-2652",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "OR",
            "license": "1053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; 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.