BACK IN MOTION SPORTS INJURIES CLINIC, LLC (NPI# 1194937722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194937722 |
Entity Type | Organization |
Organization Name | BACK IN MOTION SPORTS INJURIES CLINIC, LLC |
Practice Address |
11385 Sw Scholls Ferry Rd Beaverton OR 97008-7167 |
Practice Telephone | 5035249040 |
Practice Fax Number | 5035794727 |
Mailing Telephone | 5035249040 |
Mailing Fax Number | 5035794727 |
Enumeration Date | 2007-05-04 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. THEODORE LAWRENCE FORCUM III (OWNER) |
Authorized Official Telephone | 5035249040 |
Authorized Official Credential | DC, DACBSP, CSCS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 111NS0005X |
Chiropractor Specialization: Sports Physician |
Chiropractic Providers | ||
X | 171100000X | Acupuncturist | Other Service Providers | ||
X | 174400000X | Specialist | Other Service Providers | ||
X | 175F00000X | Naturopath | Other Service Providers |
Street Address |
11385 SW SCHOLLS FERRY RD |
City | BEAVERTON |
State | OR |
Zip Code | 97008-7167 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427100213 | Steven Alan Hanson | Chiropractor | 11385 Sw Scholls Ferry Rd, Beaverton, OR 97008 | 2007-01-18 |
1740640283 | Jordan Emmil | Chiropractor | 11385 Sw Scholls Ferry Rd, Beaverton, OR 97008-7167 | 2016-02-25 |
1386946101 | Robyn Aleen Baehler | Massage Therapist | 11385 Sw Scholls Ferry Rd, Beaverton, OR 97008-7168 | 2010-11-30 |
1780916668 | Andrew Joseph Scherer | Chiropractor | 11385 Sw Scholls Ferry Rd, Beaverton, OR 97008-7167 | 2010-02-03 |
1174764864 | Gary W Oswald | Acupuncturist | 11385 Sw Scholls Ferry Rd, Beaverton, OR 97008-7167 | 2009-03-10 |
1548472897 | Melissa R. Rhines | Contractor | 11385 Sw Scholls Ferry Rd, Beaverton, OR 97008-7167 | 2007-05-07 |
1467677146 | Mary Elizabeth Brooks-verschingel | Contractor | 11385 Sw Scholls Ferry Rd, Beaverton, OR 97008-7167 | 2007-04-16 |
1760514244 | Stefan Furst | Contractor | 11385 Sw Scholls Ferry Rd, Beaverton, OR 97008-7167 | 2007-03-11 |
1033249339 | Michael Patrick Collins | Contractor | 11385 Sw Scholls Ferry Rd, Beaverton, OR 97008-7167 | 2007-03-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972136638 | Kelly Mitchell | Counselor | 6600 Sw 105th Ave Suite 120, Beaverton, OR 97008 | 2020-02-20 |
1700305315 | Heather Denise Glenn | Counselor | 6700 Sw 105th Avenue, Suite 203, Beaverton, OR 97008 | 2017-09-14 |
1649798265 | Timothy Wilkins | Counselor | 8285 Sw Nimbus Ave #148, Beaverton, OR 97008 | 2017-09-04 |
1962920751 | West End Surgical, LLC | Clinic/Center | 9405 Sw Nimbus Ave, Beaverton, OR 97008 | 2017-09-01 |
1073054714 | University Professional Services | Durable Medical Equipment & Medical Supplies | 9317 Sw Nimbus Ave, Beaverton, OR 97008 | 2017-03-14 |
1508311424 | Mitra Gaspeed | Dental Hygienist | 8615 Sw Thoroughbred Pl., Beaverton, OR 97008 | 2016-08-20 |
1740521988 | Donna Louise Grenier | Registered Nurse | 1413 E St, Independence, OR 97008 | 2013-03-13 |
1508105735 | Mary Elizabeth Smith | Specialist/Technologist, Other | 11855sw Ridgecrest Dr, #209, Beaverton, OR 97008 | 2013-02-07 |
1629315551 | Adelfino J Zuriaga | Massage Therapist | 11985 Sw Camden Ln, Beaverton, OR 97008 | 2013-01-11 |
1760738330 | Lih-wern Wang | Pharmacist | 9775 Sw Gemini Dr Ste 1, Beaverton, OR 97008 | 2012-07-31 |
Find all providers in zip 97008 |
Taxonomy Code | 111NS0005X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
Specialization | Sports Physician |
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982971529 | Adam Arthur Meisenhelder | Chiropractor | 11385 Sw Scholls Ferry Rd., Beaverton, OR 97008-7168 | 2011-11-28 |
1669625075 | Drew Hohensee | Chiropractor | 8196 Sw Hall Blvd Ste 112, Beaverton, OR 97008-4676 | 2008-10-29 |
1275673808 | Guillermo J Bermudez | Chiropractor | 4900 Sw Griffith Dr Ste 110, Beaverton, OR 97005-4649 | 2007-02-06 |
1396818738 | Randal David Ringsage | Chiropractor | 3595 Sw 170th Ave, Beaverton, OR 97006-5018 | 2006-11-15 |
1265897623 | Ajay Iselin | Chiropractor | 4900 Sw Griffith Dr, #110, Beaverton, OR 97005-5607 | 2015-12-29 |
1285050369 | Christine Major | Chiropractor | 4900 Sw Griffith Dr, Suite 110, Beaverton, OR 97005-5607 | 2014-03-12 |
1780916668 | Andrew Joseph Scherer | Chiropractor | 11385 Sw Scholls Ferry Rd, Beaverton, OR 97008-7167 | 2010-02-03 |
1356539373 | Michael L. Underhill, Dc, PC | Chiropractor | 14685 Sw Millikan Way, Beaverton, OR 97006-2999 | 2007-10-04 |
1790825370 | Active Living Chiropractic, P.C. | Chiropractor | 4900 Sw Griffith Dr Ste 110, Beaverton, OR 97005-4649 | 2007-02-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801381140 | Tyler Miller | Chiropractor | 455 Nw Wanapa St, Cascade Locks, OR 97014 | 2018-06-28 |
1952848764 | Cooper Jay Adams | Chiropractor | 6046 E Burnside St, Portland, OR 97215-1268 | 2017-01-31 |
1871039768 | Sissel Holloway | Chiropractor | 501 Portway Ave Ste 203, Hood River, OR 97031-1288 | 2017-01-16 |
1992172977 | Whittaker Wellness and Performance Center | Chiropractor | 1000 Sw Broadway, Suite 1210, Portland, OR 97205-3003 | 2015-08-26 |
1588079776 | Function Performance Sport Chiropractic LLC | Chiropractor | 502 7th St Ste 100, Oregon City, OR 97045-2246 | 2014-06-25 |
1295162006 | Blake Testa | Chiropractor | 2663 12th St Se, Salem, OR 97302-2154 | 2013-10-11 |
1396182580 | Katherine M Sill | Chiropractor | 2820 E Main St, Hillsboro, OR 97123-7068 | 2013-05-28 |
1376883728 | Halsy James Carter | Chiropractor | 12700swnorth Dakota St 180, Tigard, OR 97223-0802 | 2013-02-21 |
1043571136 | Adam Goulet | Chiropractor | 1501 N Aisworth, Portland, OR 97217 | 2012-06-05 |
1275804171 | Dewar Chiropractic, LLC | Chiropractor | 1385 Se 1st Ave Ste 102, Canby, OR 97013-6767 | 2012-01-24 |
Find all providers with the same taxonomy |
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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.