Organization Active NPI

The Vintage Physical Therapy and Training

  • Physical Therapy Clinic/Center
  • West Linn, OR
National Provider Identifier
1902440126
Registry record updated Nov 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
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, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2019

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.