Organization Active NPI

Cyti Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Beaverton, OR
National Provider Identifier
1972120541
Registry record updated Dec 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
CYTI PHYSICAL THERAPY LLC
Practice address
11350 SW Canyon Rd # 202
Beaverton, OR 97005-2234
Phone
(503) 625-0152
NPI assigned
Jun 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2020

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

Authorized official

Name
Sun Jae Yu
Title
Chief Financial Officer
Phone
(503) 625-0152

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

11350 SW Canyon Rd # 202
Beaverton, OR 97005-2234

Mailing address

PO Box 1310
Sherwood, OR 97140-1310
Phone (503) 625-0152

National Provider Directory

National Provider Directory

Locations

11350 SW Canyon Rd
#202
Beaverton, OR 97005
Phone (503) 625-0152

NPI Registry JSON

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

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607040000000",
    "number": "1972120541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1310",
            "city": "SHERWOOD",
            "state": "OR",
            "postal_code": "971401310",
            "telephone_number": "503-625-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11350 SW CANYON RD # 202",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970052234",
            "telephone_number": "503-625-0152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYTI PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-30",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A",
        "authorized_official_last_name": "YU",
        "authorized_official_first_name": "SUN JAE",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "503-625-0152"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; 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.