THERAPY CENTERS OF THE SOUTHWEST I, P.A., P.C. (NPI# 1831217819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831217819 |
| Entity Type | Organization |
| Organization Name | THERAPY CENTERS OF THE SOUTHWEST I, P.A., P.C. |
| Other Organization Name | CONCENTRA MEDICAL CENTER |
| Practice Address |
12518 Ne Airport Way Suite 110 Portland OR 97230 |
| Mailing Address |
5080 Spectrum Drive Suite 1200 West Tower Addison TX 75001 |
| Practice Telephone | 5032562992 |
| Practice Fax Number | 5032580717 |
| Mailing Telephone | 9723648000 |
| Mailing Fax Number | 2147754502 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2016-02-18 |
| Authorized Official Name | DR. ROBERT HASSETT (SENIOR VP / CHIEF MEDICAL OFFICER) |
| Authorized Official Telephone | 9723648000 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities | ||
| N | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
Ambulatory Health Care Facilities | ||
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Concentra Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437277407 | Therapy Centers of The Southwest I, P.a., P.C. | Clinic/Center | 6405 Sw Rosewood, Suite B, Lake Oswego, OR 97035 | 2007-03-27 |
| 1487772323 | Therapy Centers of The Southwest I, P.a., P.C. | Clinic/Center | 3449 N. Anchor Street, Suite 300a, Portland, OR 97217 | 2007-03-27 |
| 1164791166 | Therapy Centers of The Southwest I, P.a., P.C. | Clinic/Center | 2225 Nw Town Center Dr, Beaverton, OR 97006-8915 | 2011-12-20 |
| Street Address |
12518 NE AIRPORT WAY SUITE 110 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336274075 | David Kidd | Internal Medicine | 12518 Ne Airport Way, Portland, OR 97230-1078 | 2007-02-22 |
| 1962954685 | Occupational Health Centers of The Southwest, P.a. (tx) | Clinic/Center | 12518 Ne Airport Way, Ste 110, Portland, OR 97230 | 2016-10-28 |
| 1568811123 | Joshua Hall | Physical Therapist | 12518 Ne Airport Way, 110, Portland, OR 97230-1078 | 2016-06-05 |
| 1275919235 | Nathan Lucherini | Physical Therapist | 12518 Ne Airport Way, Ste 110, Portland, OR 97230-1078 | 2015-07-31 |
| 1528368586 | Steven Daniel Miller | Physical Therapist | 12518 Ne Airport Way, Suite 110, Portland, OR 97230-1078 | 2010-10-25 |
| 1275851073 | American Current Care, Pa | Clinic/Center | 12518 Ne Airport Way, Suite 110, Portland, OR 97230-1078 | 2010-05-04 |
| 1972752913 | Concentra Health Services, Inc. | Clinic/Center | 12518 Ne Airport Way, Suite 110, Portland, OR 97230 | 2008-09-15 |
| 1144477159 | Andrew Ryan Sjolander | Physical Therapist | 12518 Ne Airport Way, Suite 110, Portland, OR 97230-1078 | 2008-08-20 |
| 1609068899 | Glen Ritchie Stream | Family Medicine | 12518 Ne Airport Way, Portland, OR 97230-1078 | 2007-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932687233 | Timisha K Wilson | Social Worker | 12505 Ne Halsey St, Portland, OR 97230 | 2018-07-30 |
| 1356828768 | Sally Gail Logan | Pharmacist | 5725 Ne 138th Avenue, Portland, OR 97230 | 2018-07-27 |
| 1063937951 | Marley Elizabeth Small | Counselor | 1507 Ne 122nd Ave., Portland, OR 97230 | 2017-08-11 |
| 1447771316 | Shadab Nasreen Aijazi | Pathology | 5220 Ne 122nd Avenue, Portland, OR 97230 | 2017-06-30 |
| 1104378199 | Derek Andrus | Pharmacist | 5717 Nw 138th, Portland, OR 97230 | 2016-10-26 |
| 1164972675 | Rachael Anderson | Adult Companion | 423 Ne 160th Ave #11, Portland, OR 97230 | 2016-10-07 |
| 1750837597 | Providence Elderplace | Assisted Living Facility | 16430 Ne Hoyt St, Portland, OR 97230 | 2016-08-31 |
| 1649622473 | Sara Mcgroarty | Counselor | 17710 Ne Halsey Street, Portland, OR 97230 | 2016-07-05 |
| 1346699949 | Steven D Stanton | Counselor | 1022 Ne 181st Ave, C1, Portland, OR 97230 | 2016-06-06 |
| 1215390091 | The Wallace Medical Concern | Clinic/Center | 18139 Ne Couch Street, Portland, OR 97230 | 2016-03-30 |
| Find all providers in zip 97230 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356960728 | Kaleidoscope Eating Disorders and Diet Recovery Center | Clinic/Center | 75 Market St Ste 304, Portland, ME 04101-5040 | 2020-04-15 |
| 1225665623 | Onlinevisit LLC | Clinic/Center | 2024 Sw Howards Way Apt 501, Portland, OR 97201-7726 | 2020-03-25 |
| 1407492002 | Oregon Injection Clinic | Clinic/Center | 1500 Nw Lovejoy, 106, Portland, OR 97209 | 2019-11-19 |
| 1801452818 | Everybody Wellness, LLC | Clinic/Center | 2143 Ne Broadway St Ste 9, Portland, OR 97232-1512 | 2019-05-15 |
| 1114433802 | Thriving Acupuncture | Clinic/Center | 1708 Nw 25th Ave Apt 6, Portland, OR 97210-2435 | 2017-12-18 |
| 1316468341 | Accident Care Chiropractic and Massage of Salem | Clinic/Center | 2168 Lancaster Dr. Ne, Portland, OR 97216 | 2017-06-29 |
| 1417484460 | Be Well Acupuncture | Clinic/Center | 3125 Ne Holladay St # B, Portland, OR 97232-2504 | 2017-05-20 |
| 1811441652 | Boly Health and Education, LLC | Clinic/Center | 2607 Nw Thurman St, Portland, OR 97210-2202 | 2016-08-10 |
| 1073927158 | Personal Fitness and Consulting | Clinic/Center | 12014 Se Schiller St, Portland, OR 97266-3258 | 2014-06-17 |
| 1427475698 | Eternal Spring Massage | Clinic/Center | 7048 Se Milwaukie Ave, Portland, OR 97202-5719 | 2014-03-25 |
| 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.