MACKENZIE ROOT (NPI# 1992334924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992334924 |
Entity Type | Individual |
Full Name | MACKENZIE ROOT |
Credential | PT, DPT, NCS |
Practice Address |
3303 Sw Bond Ave Portland OR 97239-4501 |
Mailing Address |
3538 Ne 44th Ave Portland OR 97213-1018 |
Practice Telephone | 5034943151 |
Mailing Telephone | 5413900199 |
Enumeration Date | 2020-04-02 |
Last Update Date | 2020-04-02 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2251N0400X |
Physical Therapist Specialization: Neurology |
033107 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Y | 2251N0400X |
Physical Therapist Specialization: Neurology |
63285 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
3303 SW BOND AVE |
City | PORTLAND |
State | OR |
Zip Code | 97239-4501 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639174287 | Dawn F. Tilgner | Nurse Practitioner | 3303 Sw Bond Ave, Portland, OR 97239-4501 | 2005-06-19 |
1376164582 | Marisa Palandri | Occupational Therapist | 3303 Sw Bond Ave, Portland, OR 97239-4501 | 2020-04-28 |
1194345629 | Margaret Alva Mcreynolds | Physical Therapist | 3303 Sw Bond Ave, Portland, OR 97239-4501 | 2020-04-24 |
1104446392 | Jennifer Crawford | Occupational Therapist | 3303 Sw Bond Ave, Portland, OR 97239-4501 | 2020-04-17 |
1093335275 | Mehak Noorani | Speech-Language Pathologist | 3303 Sw Bond Ave, Portland, OR 97239-4501 | 2020-04-17 |
1497374185 | Ruth Semon | Physical Therapist | 3303 Sw Bond Ave, Portland, OR 97239-4501 | 2020-04-13 |
1649899675 | Kristin Moore | Physical Therapist | 3303 Sw Bond Ave, Portland, OR 97239-4501 | 2020-04-09 |
1821627266 | Mollie Ann Suits | Physical Therapist | 3303 Sw Bond Ave, Portland, OR 97239-4501 | 2020-04-07 |
1801425269 | Andrea Susan Serdar | Physical Therapist | 3303 Sw Bond Ave, Portland, OR 97239-4501 | 2020-04-06 |
1508495037 | Chante Noel Larlee | Physical Therapist | 3303 Sw Bond Ave, Portland, OR 97239-4501 | 2020-04-06 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558979468 | Elise Caitlin Esposito | Student in an Organized Health Care Education/Training Program | 3710 Sw U.S. Veterans Hospital Road, Dental Service P-3 Dent, Attn: Elise Esposito, Portland, OR 97239 | 2020-07-16 |
1750908844 | Will Cowan | Student in an Organized Health Care Education/Training Program | 455 Sw Us Veterans Hospital Road., Portland, OR 97239 | 2020-07-06 |
1881219657 | Desiree Baer | Licensed Vocational Nurse | Sw Us Veterans Hospital Rd, Portland, OR 97239 | 2020-06-08 |
1285266205 | Melissa Irene Wheeler | Registered Nurse | Uhs-8l, 3181 S.w. Sam Jackson Park Road, Portland, OR 97239 | 2020-02-07 |
1225687981 | Pheba Mariam Jones | Pharmacist | Ohsu Pharmacy At Chh Building 2, 3303 Sw Bond Ave Rm 1090, Portland, OR 97239 | 2019-09-05 |
1801448063 | Alice Huang Huang | Student in an Organized Health Care Education/Training Program | 3710 Sw Veterans Road, Portland, OR 97239 | 2019-07-09 |
1710446273 | Ellen Noreen Kessi | Social Worker | 3710 Sw Us Veterans Rd., Portland, OR 97239 | 2019-03-14 |
1508335704 | Jacqueline Marie Mular | Marriage & Family Therapist | 5550 Sw Macadam Suite 100, Portland, OR 97239 | 2018-11-16 |
1275030926 | Carly Elizabeth Dougher | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd., Portland, OR 97239 | 2018-04-10 |
1780188094 | Dennis John Samuel | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd. L-579, Portland, OR 97239 | 2018-03-21 |
Find all providers in zip 97239 |
Taxonomy Code | 2251N0400X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Neurology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801425269 | Andrea Susan Serdar | Physical Therapist | 3303 Sw Bond Ave, Portland, OR 97239-4501 | 2020-04-06 |
1396374328 | Jeffrey Schlimgen | Physical Therapist | 3303 Sw Bond Ave, Portland, OR 97239-4501 | 2020-04-02 |
1982241931 | Marissa Lyon | Physical Therapist | 1274 Congress St Fl 3, Portland, ME 04102-2111 | 2019-12-09 |
1578041661 | Jaime Musgrave | Physical Therapist | 9135 Sw Barnes Rd, Ste 361, Portland, OR 97225-9720 | 2018-08-01 |
1629420534 | Courtney Lewis | Physical Therapist | 507 Ne 47th Ave, Portland, OR 97213-2236 | 2016-07-05 |
1205267754 | Carly Lochala | Physical Therapist | 3303 Sw Bond Ave, Portland, OR 97239-4501 | 2013-12-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073667218 | Oregon Neurosport Physical Therapy | Physical Therapist | 680 Ivy St, Junction City, OR 97448-1636 | 2007-01-23 |
1730718768 | Marvin C Smith | Physical Therapist | 15700 Sw Greystone Ct, Beaverton, OR 97006-6011 | 2020-04-02 |
1366921652 | Carolyn A Piatt | Physical Therapist | 1111 Crater Lake Ave, Medford, OR 97504-6241 | 2018-08-08 |
1851841993 | Whitney Ann Gray | Physical Therapist | 3270 Liberty Rd S, Salem, OR 97302-4560 | 2016-10-13 |
1669894275 | Janell Wyatt | Physical Therapist | 1700 E 19th St, Mcmc Physical Therapy Dept./ M-power Rehab, The Dalles, OR 97058-3317 | 2014-01-16 |
1821317967 | Brian Trevor Groves | Physical Therapist | 910 Sw Highway 97, Suite 200, Madras, OR 97741-9247 | 2010-05-28 |
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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.