MATTHEW STEVEN BLIEVERNICHT (NPI# 1760640213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760640213 |
| Entity Type | Individual |
| Full Name | MATTHEW STEVEN BLIEVERNICHT |
| Credential | D.P.T |
| Practice Address |
15280 Nw Central Dr Suite 101 Portland OR 97229-7805 |
| Mailing Address |
16083 Sw Upper Boones Ferry Rd Suite 300 Tigard OR 97224-7736 |
| Practice Telephone | 5034662254 |
| Practice Fax Number | 5034661143 |
| Mailing Telephone | 8002198835 |
| Mailing Fax Number | 5036399699 |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2012-10-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 5973 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225100000X | Physical Therapist | 11016 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500609437 | 05 | |
| OR | WASHINGTON L&I | 0252231 | 01 |
| OR | RR MEDICARE | P00802449 | 01 |
| Street Address |
15280 NW CENTRAL DR SUITE 101 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97229-7805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033296538 | Shagufta A Hasan | Clinic/Center | 15280 Nw Central Dr, Ste 204, Portland, OR 97229-7805 | 2006-11-01 |
| 1649717141 | Massage and Spa At Bethany | Clinic/Center | 15280 Nw Central Dr, 102, Portland, OR 97229-7805 | 2017-01-23 |
| 1194992305 | Family Walk In Medical Center, PC | Family Medicine | 15280 Nw Central Dr, Suite 204, Portland, OR 97229 | 2008-05-15 |
| 1952516551 | Bethany Dental Care, PC | Dentist | 15280 Nw Central Dr, Ste 201, Portland, OR 97229-7805 | 2007-05-14 |
| 1083749907 | Mehran Enayati | Dentist | 15280 Nw Central Dr, Suite 201, Portland, OR 97229-7805 | 2007-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851919906 | Anjana Rajan | Counselor | Lifeworks Northwest, 14600 Nw Cornell Rd, Portland, OR 97229 | 2020-07-06 |
| 1871138453 | Kedrick Starr | Case Manager/Care Coordinator | 14600 Nw Cornell Rd., Portland, OR 97229 | 2019-11-07 |
| 1477102689 | Raquel A Bishop | Nurse Practitioner | 12400 Nw Cornell Rd Ste 100, Portland, OR 97229 | 2019-09-10 |
| 1669026134 | Alexandra Elizabeth Lodwig | Speech-Language Pathologist | 255 Nw Lost Springs Terrace Apt 304, Portland, OR 97229 | 2019-08-01 |
| 1003316043 | Jenny Lavonne Thom | Counselor | 15220 Nw Laidlaw Rd., Suite 280, Portland, OR 97229 | 2018-02-16 |
| 1194230664 | Ankita Guchait | Case Manager/Care Coordinator | 14600 Nw Cornell Rd, Portland, OR 97229 | 2017-12-06 |
| 1568988913 | Hannah Hendrix Klingelheber | Speech-Language Pathologist | 15605 Nw Ryegrass St., Portland, OR 97229 | 2017-08-17 |
| 1548791213 | Adeline Mitchell | Registered Nurse | 14600 Sw Cornell Rd., Portland, OR 97229 | 2017-03-24 |
| 1538610670 | Crystal Graves | Peer Specialist | 14600 Nw Cornell, Portland, OR 97229 | 2016-10-24 |
| 1639533185 | Evelin James | Dental Hygienist | 5879 Nw Lark Meadow Ter, Portland, OR 97229 | 2016-04-11 |
| Find all providers in zip 97229 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942221 | Joseph Cody Brainard | Physical Therapist | 4416 Ne Simpson St, Portland, OR 97218-1446 | 2020-11-05 |
| 1497355978 | Ptmobile Physical Therapy LLC | Physical Therapist | 9505 Sw 50th Ave, Portland, OR 97219-5159 | 2020-10-26 |
| 1376142133 | Randy Dittmar | Physical Therapist | 10120 Sw Park Way, Portland, OR 97225-5008 | 2020-10-22 |
| 1386250058 | Christopher Choi | Physical Therapist | 1307 Ne 102nd Ave Ste T1, Portland, OR 97220-3980 | 2020-09-18 |
| 1063026987 | Sara Marie Lindauer | Physical Therapist | 3934 Ne Martin Luther King Jr Blvd Ste 203, Portland, OR 97212-1153 | 2020-09-08 |
| 1891307492 | Emily Fleischman | Physical Therapist | 2714 Ne 60th Ave, Portland, OR 97213-3906 | 2020-08-17 |
| 1083224034 | Matthew Morris | Physical Therapist | 1364 Congress St Ste 3, Portland, ME 04102-2170 | 2020-08-05 |
| 1871101634 | Liz Ruegg Physical Therapy LLC | Physical Therapist | 2903 Se Brooklyn St, Portland, OR 97202-2026 | 2020-07-17 |
| 1770101776 | Taylor Eckel | Physical Therapist | 818 Nw 14th Ave, Portland, OR 97209-2703 | 2020-07-07 |
| 1659996122 | Brooke Bailey | Physical Therapist | 5331 S Macadam Ave Ste 105, Portland, OR 97239-3848 | 2020-06-10 |
| Find all providers in PORTLAND | ||||
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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.