Active NPI
Cyti Physical Therapy LLC
- Physical Therapy Clinic/Center
- Beaverton, OR
National Provider Identifier
1972120541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.