Anna Louise Yarzak, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6346 Issued in OR

Practice address

1630 SW Morrison St
Suite 100
Portland, OR 97205-1916

Phone

(503) 227-7774

Fax

(503) 227-7548

NPI assigned

Apr 13, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Anna Louise Cowan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• West Portland Physical Therapy Clinic LLC

  • Physical Therapy Clinic/Center
  • Portland, OR
  • NPI 1134175706
  NPD (past)

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

{
    "created_epoch": "1302652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302652800000",
    "number": "1962792788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 SW MORRISON ST",
            "address_2": "SUITE 100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972051916",
            "telephone_number": "503-227-7774",
            "fax_number": "503-227-7548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 SW MORRISON ST",
            "address_2": "SUITE 100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972051916",
            "telephone_number": "503-227-7774",
            "fax_number": "503-227-7548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YARZAK",
        "first_name": "ANNA",
        "middle_name": "LOUISE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-13",
        "last_updated": "2011-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "6346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "COWAN",
            "middle_name": "LOUISE",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• James Miles Yardley, LAC, LMT
• Michael Yaremko III, DMD
• Rachel Yarger, M.S.
• Isabella Olia Yarmolich
• Lalena Yarris, MD
• Lillian J Yasana, LCSW
• William Montgomery Yashar, MD, PHD
• Yasiins Luv LLC
• Mehrdad Yasrebi
• Philip Leo Yassenoff, LPCC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; 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.