Mind Body Therapy
Physical Therapist (Orthopedic)

Address: 11959 Sw Garden Pl, Portland, OR 97223-8249
Phone: 5036200781

Mind Body Therapy (NPI# 1578170411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1578170411
Entity Type Organization
Organization Name MIND BODY THERAPY
Practice Address 11959 Sw Garden Pl
OR 97223-8249
Practice Telephone 5036200781
Practice Fax Number 5034279553
Mailing Address 11959 Sw Garden Pl
OR 97223-8249
Mailing Telephone 5036200781
Mailing Fax Number 5034279553
Authorized Official Name Rajesh Khemraj (OWNER)
Authorized Official Telephone 5035604672
Authorized Official Credential PT
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2020-09-24
Last Update Date 2020-09-24

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 2251X0800X Physical Therapist · Orthopedic Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider/Organization Names

Other Name Type Code
Mind Body Therapy Doing Business As Name - Organization

Taxonomy Information

Taxonomy Code 2251X0800X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Physical Therapist
Specialization Orthopedic

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306324538 Kristin Connor Messing Physical Therapist 4805 Ne Glisan St, Prov Hall 7e06, Portland, OR 97015 2018-07-31
1093204562 Jessica Hund Physical Therapist 9385 Sw Greenburg Rd Ste 100, Portland, OR 97223-3200 2018-05-09
1659899151 Mariel Hammond Physical Therapist 7522 N Lombard St, Portland, OR 97203-3235 2017-09-05
1437516515 Caleb Joseph Wright Physical Therapist 8628 Se 17th Ave, Portland, OR 97202-0000 2016-01-20
1881840692 Jennifer Lynne Davis Physical Therapist 7718 Se 13th Ave, Portland, OR 97202-6348 2008-08-12
1093977316 Julie A Jacobson Physical Therapist 10428 Ne Pacific St, Portland, OR 97220-4028 2008-06-27
1427225606 Kofoed Enteprises PC Physical Therapist 1020 Sw Taylor Street Suite 665, Portland, OR 97205-2529 2008-05-15
1770619595 Shawn Patrick Cooney Physical Therapist 3108 Ne 181st Ave, Portland, OR 97230-6926 2007-02-26
1811039035 Kevin A Schmidt Physical Therapist 2622 Se 25th Ave, Suite B, Portland, OR 97202-1217 2007-02-13
1326133125 Corrie Alena Black-rofinot Physical Therapist 11782 Sw Barnes Rd Ste 100, Portland, OR 97225-5931 2006-10-04
Find all providers in PORTLAND

Office Location

Street Address 11959 SW GARDEN PL
State OR
Zip Code 97223-8249

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1760042618 Tess Ivie Manso Counselor 8915 Degrees Center St, Tigard, OR 97223 2019-06-13
1780141804 Amybrunermd LLC Obstetrics & Gynecology 6958 Sw Varns Street, Portland, OR 97223 2019-02-25
1417425034 Patience Marie Rutto Counselor 8915 Sw Center Streret, Tigard, OR 97223 2018-11-13
1871089581 Marina E Menegol Behavior Analyst Center for Social Dynamics, 9115 Southwest Oleson Rd. Ste. 100, Portland, OR 97223 2018-07-05
1215423165 Katherine Virginia Eichner Psychologist 9860 Sw Hall Blvd Ste B, Tigard, OR 97223 2018-07-03
1043717390 Rayna Donnelly Physician Assistant 9735 Sw Shady Ln Ste 102, Tigard, OR 97223 2018-04-11
1376059725 Kaylie Marilyn Reyes Behavior Analyst 9115 Sw Oleson Road, Portland, OR 97223 2017-12-21
1841704004 Kathleen Terrell Taylor Occupational Therapist 7320 Sw Hunziker, Suite 203, Tigard, OR 97223 2017-11-27
1487163036 Susie Riess Counselor 10763 Sw Greenburg Road, Suite 100, Tigard, OR 97223 2017-09-27
1043731243 Tam Nguyen Optometrist 8795 Sw Scholls Ferry Rd Ste 100, Tigard, OR 97223 2017-06-28
Find all providers in zip 97223


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Zip Code 97223

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Dataset Information

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.