111th Square Fitness And Therapy, LLC
Physical Therapist in Portland, OR. Organization (NPI-2).
NPI number1750521985
StatusActive
Last updated in NPPESFeb 27, 2009
Details
- NPI
- 1750521985
- Entity type
- Organization (NPI-2)
- Legal business name
- 111th Square Fitness And Therapy, LLC
- Organization subpart
- No
- Enumeration date
- Feb 27, 2009
- Last updated
- Feb 27, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 0355 | OR | Yes |
| 225700000X | Massage Therapist | 15397 | OR | |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 1333261 | OR |
Practice location
11126 Ne Halsey StPortland, OR 97220-2021
Phone 503-256-5200 · Fax 503-253-7958
Mailing address
11126 Ne Halsey StPortland, OR 97220-2021
Phone 503-256-5200 · Fax 503-253-7958
Authorized official
Linda Josephine Sanchez
Maker
5032565200
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Physical Therapist providers in Portland, OR
- 360 Degree Sports Medicine & Spine Therapy LLCNPI 1528268588
- Ryan David Abbott, PTNPI 1174961213
- Daniel AbdieNPI 1942884465
- Stacey Leann Abosamra, PT, DPTNPI 1063256071
- Martyna AdamiecNPI 1235092768
- Kristen Adams, PTNPI 1649550278
- Dr. Joel P Agresta, DC, PTNPI 1356416184
- Christine Ahlbrecht, PTNPI 1891740239
- Olivia Aho, DPTNPI 1003669292
- Dr. Dorothy Dalia Aiello, DPTNPI 1922052158
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.