NPIMap

Organization Active NPI

Children's Intensive Therapy

  • Physical Therapy Clinic/Center
  • Portland, OR
National Provider Identifier
1982001194
Registry record updated Dec 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
60716 Issued in OR
Legal business name
CHILDREN'S INTENSIVE THERAPY
Practice address
7203 SE Raymond St
Portland, OR 97206-4323
Phone
(503) 895-1320
Fax
(503) 296-2319
NPI assigned
Dec 3, 2014
Last updated
Dec 3, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2014

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

Authorized official

Name
Darren Brault
Title
President/Clinic Owner
Phone
(503) 895-1320

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 60716 OR Primary

Addresses

Primary practice location

7203 SE Raymond St
Portland, OR 97206-4323

Mailing address

7203 SE Raymond St
Portland, OR 97206-4323
Phone (503) 895-1320

National Provider Directory

National Provider Directory
Tax ID family
Children's Intensive Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7203 SE Raymond St
Portland, OR 97206
Phone (503) 750-5926

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1417564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417564800000",
    "number": "1982001194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7203 SE RAYMOND ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972064323",
            "telephone_number": "503-895-1320",
            "fax_number": "503-296-2319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7203 SE RAYMOND ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972064323",
            "telephone_number": "503-895-1320",
            "fax_number": "503-296-2319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S INTENSIVE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-03",
        "last_updated": "2014-12-03",
        "status": "A",
        "authorized_official_last_name": "BRAULT",
        "authorized_official_first_name": "DARREN",
        "authorized_official_title_or_position": "PRESIDENT/CLINIC OWNER",
        "authorized_official_telephone_number": "503-895-1320"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "OR",
            "license": "60716",
            "primary": true
        }
    ],
    "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 Dec 3, 2014; 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.