Organization Active NPI

Surgery Recovery Clinic, LLC

  • Physical Medicine & Rehabilitation Physician
  • Portland, OR
National Provider Identifier
1972329431
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
SURGERY RECOVERY CLINIC, LLC
Practice address
5816 SE Powell Blvd Ste 102
Portland, OR 97206-2860
Phone
(503) 888-0708
Fax
(844) 918-5005
NPI assigned
Dec 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Authorized official

Name
Isabel Spradlin, RN, LMT, CLWTNPI 1053038521
Title
Owner
Phone
(503) 888-0708

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

5816 SE Powell Blvd Ste 102
Portland, OR 97206-2860

Mailing address

5816 SE Powell Blvd Ste 102
Portland, OR 97206-2860
Phone (503) 888-0708

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260216003191 OR Part B Supplier - Clinic/Group Practice 3476033754 Receives reassigned benefits from 1 practitioner
Practice locations: Portland, OR

National Provider Directory

National Provider Directory

Locations

5816 SE Powell Blvd
Ste 102
Portland, OR 97206
Phone (503) 888-0708

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1733097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761696000000",
    "number": "1972329431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5816 SE POWELL BLVD STE 102",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972062860",
            "telephone_number": "503-888-0708",
            "fax_number": "844-918-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5816 SE POWELL BLVD STE 102",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972062860",
            "telephone_number": "503-888-0708",
            "fax_number": "844-918-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGERY RECOVERY CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-02",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A",
        "authorized_official_last_name": "SPRADLIN",
        "authorized_official_first_name": "ISABEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-888-0708",
        "authorized_official_credential": "RN, LMT, CLWT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; 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.