Q-MJ2

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05391 Issued in OR

Legal business name

Q-MJ2

Practice address

8915 SW Nordic Dr
Tigard, OR 97223-7091

Phone

(857) 939-1560

NPI assigned

Sep 2, 2013

Organization subpart

No

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

Authorized official

Name

Quincy Shorthill

Title

Physical Therapist

Phone

(857) 939-1560

Specialties & licenses 1

Addresses

Other names 1

• Equilibrium Physical Therapy Doing business as

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

{
    "created_epoch": "1378080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378080000000",
    "number": "1962836437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8915 SW NORDIC DR",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972237091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8915 SW NORDIC DR",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972237091",
            "telephone_number": "857-939-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "Q-MJ2",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-02",
        "last_updated": "2013-09-02",
        "status": "A",
        "authorized_official_last_name": "SHORTHILL",
        "authorized_official_first_name": "QUINCY",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "857-939-1560"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "05391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Equilibrium Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Corey Pursel
• Brian L Puskas, MD
• Emily June Puukka Clark, MD
• Lindsey Nicole Pykonen
• Cora Pyles
• Tiffany Vanna Quach, DNP, FNP-BC
• Quality of Life Acupuncture
• Aubrey Elden Quarles Sr.
• Lori Queen, PH.D.
• Richard Alan Quesenberry, LPN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2013; 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.