BRIDGETOWN PHYSICAL MEDICINE (NPI# 1003224213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003224213 |
| Entity Type | Organization |
| Organization Name | BRIDGETOWN PHYSICAL MEDICINE |
| Other Organization Name | HEALTHSOURCE OF HILLSBORO |
| Practice Address |
862 Se Oak St Suite 3a Hillsboro OR 97123 |
| Mailing Address |
862 Se Oak St Suite 3a Hillsboro OR 97123-4240 |
| Practice Telephone | 5036486997 |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2014-10-07 |
| Authorized Official Name | ANTBONY MARASCO (OWNER) |
| Authorized Official Telephone | 5036486997 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 4050 | OR | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| Healthsource of Hillsboro | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | BRIDGETOWN PHYSICAL MEDICINE P.C. | 862 Se Oak St Ste 2a, Hillsboro, OR 97123 |
| Street Address |
862 SE OAK ST SUITE 3A |
| City | HILLSBORO |
| State | OR |
| Zip Code | 97123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003868340 | Molly Jo Cruz | Physical Therapist | 862 Se Oak St, 2a, Hillsboro, OR 97123-4240 | 2006-05-16 |
| 1295018729 | Koosman Chiropractic Clinic | Chiropractor | 862 Se Oak St, Suite 3a, Hillsboro, OR 97123-4240 | 2011-09-21 |
| 1669704433 | Physical Therapy and Hand Clinic of Hillsboro,llp | Occupational Therapist | 862 Se Oak St, Suite 2a, Hillsboro, OR 97123-4240 | 2010-02-04 |
| 1003084922 | Janet R Oconnor | Physical Therapist | 862 Se Oak St, Suite 2a, Hillsboro, OR 97123-4240 | 2008-02-13 |
| 1578786588 | Physical Therapy and Hand Clinic of Hillsboro | Clinic/Center | 862 Se Oak St, Suite 2a, Hillsboro, OR 97123-4240 | 2007-04-10 |
| 1376611756 | Hillsboro Orthopaedic Specialists LLP | Orthopaedic Surgery | 862 Se Oak St, Suite 3-b, Hillsboro, OR 97123-4240 | 2006-12-01 |
| 1205903606 | Debora A Amara | Occupational Therapist | 862 Se Oak St, 2a, Hillsboro, OR 97123-4240 | 2006-11-29 |
| 1790852101 | Wayne Crinklaw | Physical Therapist | 862 Se Oak St, 2a, Hillsboro, OR 97123-4240 | 2006-11-29 |
| 1760559173 | Deanna P. Phillipe | Physical Therapist | 862 Se Oak St, 2a, Hillsboro, OR 97123-4240 | 2006-11-29 |
| 1457428864 | Wendela Miller | Physical Therapist | 862 Se Oak St, 2a, Hillsboro, OR 97123-4240 | 2006-11-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851916241 | Gabriel Lawrence | Physical Therapist | 2973 Se 79th Ave., Hillsboro, OR 97123 | 2020-06-11 |
| 1487278453 | Jordan Gregory Evans | Student in an Organized Health Care Education/Training Program | Creighton Hall 222 Se 8th Ave, Hillsboro, OR 97123 | 2020-06-04 |
| 1124641006 | Jessica Anne Bramlett | Student in an Organized Health Care Education/Training Program | 228 Southeast 8th Avenue, Suite 536, Hillsboro, OR 97123 | 2020-05-26 |
| 1003448168 | Madelyn Vogt | Community Health Worker | 862 Se Oak Street, Suite 2a, Hillsboro, OR 97123 | 2020-02-06 |
| 1215435789 | Renise Harrel | Massage Therapist | 4855 Se Tv Hwy, Suite B, Hillsboro, OR 97123 | 2018-01-30 |
| 1497260269 | Amy Hodges | Counselor | 222 Se 8th Ave # 212, Hillsboro, OR 97123 | 2017-12-02 |
| 1033623723 | Tamira L Heyob | Doula | 25600 Sw Bald Peak Rd., Hillsboro, OR 97123 | 2017-11-17 |
| 1134644024 | Tara Kyoko Taylor | Massage Therapist | 5289 Ne Elam Young Pkwy #130, Hillsboro, OR 97123 | 2017-08-11 |
| 1023543055 | Austin Simpson | Counselor | 222 Se 8th, Suite 222, Hillsboro, OR 97123 | 2017-04-27 |
| 1124569769 | Emergency Tooth Doctor Hillsboro, Prof. Corp. | Dentist | 752 Se Oak St, Hillsboro, OR 97123 | 2017-03-15 |
| Find all providers in zip 97123 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215570999 | Rami Saleh | Chiropractor | 1323 Ne Orenco Station Pkwy Ste 300, Hillsboro, OR 97124-5416 | 2019-10-24 |
| 1629626767 | Zurek Health Services LLC | Chiropractor | 7598 Ne Shaleen St, Hillsboro, OR 97124-9430 | 2019-09-02 |
| 1235609165 | Nn Holdings LLC | Chiropractor | 10726 Business 21, Hillsboro, MO 63050-5075 | 2018-12-04 |
| 1679001358 | Ashley Mohr | Chiropractor | 599 Harry Sauner Rd Ste C, Hillsboro, OH 45133-7631 | 2017-05-25 |
| 1245782424 | Accident Care Chiropractic and Massage of Hillsboro | Chiropractor | 110 Ne 10th Ave, Hillsboro, OR 97124-3333 | 2016-11-03 |
| 1770033201 | Lindsay Iselin | Chiropractor | 2900 Se Cornelius Pass Rd Ste 106, Hillsboro, OR 97123-6766 | 2016-10-07 |
| 1992157200 | Diamond Wellness LLC | Chiropractor | 6815 Ne Vinings Way, Suite 915, Hillsboro, OR 97124-7813 | 2016-07-11 |
| 1295143055 | Thomas J Leeseberg | Chiropractor | 102 1st St Sw, Hillsboro, ND 58045-4412 | 2014-07-24 |
| 1205251220 | Steven Quale | Chiropractor | 1895 Ne 106th Ave, Hillsboro, OR 97006-6485 | 2014-02-27 |
| 1023389855 | Michael Patrick Morrison | Chiropractor | 232 Ne Lincoln St Ste A, Hillsboro, OR 97124-3048 | 2012-01-25 |
| Find all providers in HILLSBORO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.