SPORTSCARE INTEGRATIVE PHYSICAL THERAPY (NPI# 1548724677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548724677 |
| Entity Type | Organization |
| Organization Name | SPORTSCARE INTEGRATIVE PHYSICAL THERAPY |
| Practice Address |
24076 Se Stark St Ste 200 Gresham OR 97030-3376 |
| Practice Telephone | 5034911666 |
| Practice Fax Number | 5034911667 |
| Mailing Telephone | 5034911666 |
| Mailing Fax Number | 5034911667 |
| Enumeration Date | 2019-01-23 |
| Last Update Date | 2019-01-23 |
| Authorized Official Name | TOMIKO JOY SALDIA (PART OWNER/OPERATOR) |
| Authorized Official Telephone | 3604021076 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500747250 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | SPORTSCARE INTEGRATIVE PHYSICAL THERAPY, LLC | 24076 Se Stark St, Suite 200, Gresham, OR 97030 |
| Street Address |
24076 SE STARK ST STE 200 |
| City | GRESHAM |
| State | OR |
| Zip Code | 97030-3376 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356685705 | Cameron Michael Purington | Specialist/Technologist | 24076 Se Stark St Ste 200, Gresham, OR 97030-3376 | 2012-11-23 |
| 1083213474 | Ross Hubbard | Occupational Therapist | 24076 Se Stark St Ste 200, Gresham, OR 97030-3376 | 2020-10-18 |
| 1033728670 | Paul Song Eo | Physical Therapist | 24076 Se Stark St Ste 200, Gresham, OR 97030-3376 | 2020-07-29 |
| 1144860024 | Tara A Harrington | Clinic/Center | 24076 Se Stark St Ste 200, Gresham, OR 97030-3376 | 2020-01-08 |
| 1942722210 | Amy Kalra | Occupational Therapist | 24076 Se Stark St Ste 200, Gresham, OR 97030-3376 | 2017-07-08 |
| 1821543075 | Kevin Eischen | Physical Therapist | 24076 Se Stark St Ste 200, Gresham, OR 97030-3376 | 2016-08-17 |
| 1295168391 | Maxwell Langdon Mckinney | Physical Therapist | 24076 Se Stark St Ste 200, Gresham Armworks Hand Th LLC, Gresham, OR 97030-3376 | 2013-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174032312 | Tiffany Chen | Occupational Therapist | 304 Ne Hood Ave., Gresham, OR 97030 | 2017-09-20 |
| 1225568454 | Goldstar Vascular Access, Inc | Home Infusion | 2870 Ne Hogan Dr, Ste E #205, Gresham, OR 97030 | 2017-06-20 |
| 1861940454 | Jessica Morrow | Massage Therapist | 1748 Nw Fairview Dr., Gresham, OR 97030 | 2016-09-13 |
| 1033665898 | Bonita Baxter | Counselor | 400 Ne 7th Street, Gresham, OR 97030 | 2016-08-31 |
| 1710335484 | Ethan William Hoccom | Counselor | 1527 Ne Lamesa Place 17th St, Gresham, OR 97030 | 2016-06-02 |
| 1992159610 | Kathleen Kline, Lmt | Massage Therapist | 1217 Ne Burnside Road Suite 701-d, Gresham, OR 97030 | 2016-04-19 |
| 1215390109 | The Wallace Medical Concern | Nurse Practitioner | 254 Nw Burnside Road, Gresham, OR 97030 | 2016-03-30 |
| 1932568912 | Atchison Dialysis, LLC | Clinic/Center | 878 Nw Burnside Rd, Gresham, OR 97030 | 2016-02-18 |
| 1912374034 | Hilary Dawn Montgomery | Counselor | 1326 Nw Civic Dr # 5569, Gresham, OR 97030 | 2015-08-24 |
| 1992171730 | Melissa E Childs | Massage Therapist | 1217 Nw Burnside Rd Ste 701, Gresham, OR 97030 | 2015-08-17 |
| Find all providers in zip 97030 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467413179 | Proactive Orthopedic and Sports Physical Therapy of Gresham LLC | Clinic/Center | 25500 Se Stark St, Suite 103, Gresham, OR 97030-3331 | 2006-03-31 |
| 1144860024 | Tara A Harrington | Clinic/Center | 24076 Se Stark St Ste 200, Gresham, OR 97030-3376 | 2020-01-08 |
| 1528455649 | Valley View Chiropractic and Spine Center | Clinic/Center | 2850 Se Powell Valley Rd, Gresham, OR 97080 | 2015-04-16 |
| 1487789657 | Gresham Sportscare | Clinic/Center | 24076 Se Stark St, Ste. 200, Gresham, OR 97030-3373 | 2007-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881292639 | Blueprint Sports Therapy | Clinic/Center | 17440 Sw Reusser Ct, Beaverton, OR 97007-8772 | 2020-10-14 |
| 1790383982 | Fluid Movement LLC | Clinic/Center | 2565 Bowmont Dr, Eugene, OR 97405-1407 | 2020-10-11 |
| 1184221335 | Convergence Physical Therapy and Performance | Clinic/Center | 303 S 5th St Ste 140, Springfield, OR 97477-5480 | 2020-10-01 |
| 1356969976 | Readygo Physical Therapy LLC | Clinic/Center | 904 Se 69th Ave, Portland, OR 97215-2120 | 2020-07-09 |
| 1619591815 | Cyti LLC | Clinic/Center | 11350 Sw Canyon Rd # 202, Beaverton, OR 97005-2234 | 2020-06-03 |
| 1144865841 | St. Johns Physical Therapy | Clinic/Center | 8835 N Bradford St, Portland, OR 97203-2869 | 2019-11-18 |
| 1750930004 | Revolutions Physical Therapy LLC | Clinic/Center | 8751 Sw Pamlico Ct, Tualatin, OR 97062-9345 | 2019-09-10 |
| 1487202362 | Mpt LLC | Clinic/Center | 98158 W Benham Ln Ste 10, Brookings, OR 97415-9546 | 2019-09-03 |
| 1215584446 | Patrick Franko Pt LLC | Clinic/Center | 2331 Ne 43rd Ave, Portland, OR 97213-1332 | 2019-08-22 |
| 1689228686 | Ground Work Physical Therapy | Clinic/Center | 2330 Ne Division St Ste 1, Bend, OR 97703-3570 | 2019-07-29 |
| 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.