Active NPI
The Vintage Physical Therapy and Training
- Physical Therapy Clinic/Center
- West Linn, OR
National Provider Identifier
1902440126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- THE VINTAGE PHYSICAL THERAPY AND TRAINING
- Practice address
- 1969 Willamette Falls Dr Ste 100
West Linn, OR 97068-4660 - Phone
- (503) 467-6046
- Fax
- (503) 296-5510
- NPI assigned
- Oct 30, 2019
- Last updated
- Nov 13, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Meghan Hoobler
- Title
- Office Manager
- Phone
- (503) 467-6046
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
1969 Willamette Falls Dr Ste 100
West Linn, OR 97068-4660
Mailing address
26180 SW French Oak Dr
West Linn, OR 97068-9756
Phone (503) 467-6046
National Provider Directory
National Provider DirectoryLocations
1969 Willamette Falls Dr
Ste 100
West Linn, OR 97068
Phone (503) 467-6046
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.
-
- Physical Therapist
- Wilsonville, OR
- NPI 1881744761
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572393600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1573603200000",
"number": "1902440126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26180 SW FRENCH OAK DR",
"city": "WEST LINN",
"state": "OR",
"postal_code": "970689756",
"telephone_number": "503-467-6046",
"fax_number": "503-296-5510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1969 WILLAMETTE FALLS DR STE 100",
"city": "WEST LINN",
"state": "OR",
"postal_code": "970684660",
"telephone_number": "503-467-6046",
"fax_number": "503-296-5510"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE VINTAGE PHYSICAL THERAPY AND TRAINING",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-30",
"last_updated": "2019-11-13",
"status": "A",
"authorized_official_last_name": "HOOBLER",
"authorized_official_first_name": "MEGHAN",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "503-467-6046"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Linn, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.