Equipped Motion Incorporated

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

5675 Issued in OR

Legal business name

EQUIPPED MOTION INCORPORATED

Practice address

8628 SE 17TH Ave
Portland, OR 97202-0000

Phone

(503) 210-9987

Fax

(503) 587-5994

NPI assigned

Feb 7, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Caleb Joseph Wright, PT, DPT, OCSNPI 1437516515

Title

President / Ceo

Phone

(503) 312-6048

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Caleb Joseph Wright, PT

  • Orthopedic Physical Therapist
  • Clackamas, OR
  • NPI 1437516515
  Medicare reassignment Authorized official
• Gene George Hong, M.D.

  • Internal Medicine Physician
  • Clackamas, OR
  • NPI 1417905506
  NPD (past)
• Jenessa Denise Roberti, DACM

  • Acupuncturist
  • Clackamas, OR
  • NPI 1174855100
  NPD (past)

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

{
    "created_epoch": "1517961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565654400000",
    "number": "1962901637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8628 SE 17TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972020000",
            "telephone_number": "503-312-6048",
            "fax_number": "503-987-5994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8628 SE 17TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972020000",
            "telephone_number": "503-210-9987",
            "fax_number": "503-587-5994"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14807 SE Oregon Trail Dr",
            "address_purpose": "LOCATION",
            "city": "Happy Valley",
            "state": "OR",
            "postal_code": "970156444",
            "country_code": "US",
            "telephone_number": "503-312-6048",
            "fax_number": "503-987-5994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EQUIPPED MOTION INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-07",
        "last_updated": "2019-08-13",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "CALEB",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "503-312-6048",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT, DPT, OCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "OR",
            "license": "5675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Equilibria LLC
• Equilibria Massage
• Equilibrium
• Equilibrium LLC
• Equipoise Integral Counseling
• Equipt Care, LLC
• Equitable Health Services
• Stephan Timothy Erat, B.A.
• Jasmine Jadeite Jia Erazmus, OT
• Danielle Laure Erb, MD

• Physical Therapy Clinic/Center in Portland, OR
• Providers in Portland, OR by specialty
• Physical Therapy Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.