SUPERB PHYSICAL THERAPY AND WELLNESS LLC (NPI# 1790375244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790375244 |
| Entity Type | Organization |
| Organization Name | SUPERB PHYSICAL THERAPY AND WELLNESS LLC |
| Practice Address | 16672 Nw Stoller Dr Portland OR 97229-7376 |
| Practice Telephone | 7863747070 |
| Mailing Address | 16672 Nw Stoller Dr Portland OR 97229-7376 |
| Mailing Telephone | 7863747070 |
| Certification Date | 2021-01-19 |
| Enumeration Date | 2021-01-19 |
| Last Update Date | 2021-01-19 |
| Authorized Official Telephone | 7863747070 |
| Authorized Official Credential | DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | Taxonomy Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| Y | 261QP2000X | Clinic/Center Specialization: Physical Therapy | Ambulatory Health Care Facilities |
| Street Address | 16672 NW STOLLER DR |
| City | PORTLAND |
| State | OR |
| Zip Code | 97229-7376 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548858442 | Cady Mathews | Pharmacist | 24 Nw Lost Springs Terr #36, Portland, OR 97229 | 2021-01-06 |
| 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 · Family | 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 · Jenny Lavonne Miller | Counselor · Mental Health | 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 · Crystal L Mesillas | Peer Specialist | 14600 Nw Cornell, Portland, OR 97229 | 2016-10-24 |
| Find all providers in zip 97229 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518558469 | Green Heron Physical Therapy LLC | 1706 Nw 24th Ave Unit 96034, Portland, OR 97296-6613 | 2021-02-02 | |
| 1831793603 | Manual Medicine & Rehabilitation Center PC, of Wa | 18633 Se Stark St Bldg A, Portland, OR 97233-5468 | 2020-11-23 | |
| 1841898632 | Spine Strong Physical Therapy and Scoliosis Rehabilitation | 251 Danforth St Unit 1, Portland, ME 04102-3705 | 2020-10-13 | |
| 1356969976 | Readygo Physical Therapy LLC | 904 Se 69th Ave, Portland, OR 97215-2120 | 2020-07-09 | |
| 1144865841 | St. Johns Physical Therapy | 8835 N Bradford St, Portland, OR 97203-2869 | 2019-11-18 | |
| 1215584446 | Patrick Franko Pt LLC | 2331 Ne 43rd Ave, Portland, OR 97213-1332 | 2019-08-22 | |
| 1487112553 | Tabor Pediatric Physical Therapy LLC | 2224 Se 53rd Ave, Portland, OR 97215-3916 | 2019-03-07 | |
| 1629542675 | Helen Quirk Ms Physical Therapy, LLC | 10200 Sw Eastridge St Ste 115, Portland, OR 97225-5031 | 2019-01-13 | |
| 1063996585 | Physioflow | 7324 Sw Virginia Ave, Portland, OR 97219-3039 | 2018-09-20 | |
| 1477084549 | Physio Pdx LLC | 2250 Nw Flanders St Ste G1, Portland, OR 97210-3475 | 2017-03-21 | |
| Find all providers in PORTLAND | ||||
| City | PORTLAND |
| Zip Code | 97229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609212778 | Movement Solutions Physical Therapy and Wellness LLC · Stretch Physical Therapy & Total Wellness | Physical Therapist · Human Factors | 4851 Wunnenberg Way Ste Cd, West Chester, OH 45069-4855 | 2013-05-16 |
| 1891317087 | Miller Physical Therapy and Wellness, LLC · Full Swing Physical Therapy and Wellness | Clinic/Center · Physical Therapy | 1816 Palm Ln, Orlando, FL 32803-1536 | 2020-05-11 |
| 1477989887 | Moisan Physical Therapy and Wellness, Inc · Mpower Physical Therapy and Wellness | Clinic/Center · Physical Therapy | 302 N El Camino Real Ste 106, San Clemente, CA 92672-4776 | 2013-09-17 |
| 1104908805 | The Center of Physical Therapy & Wellness · Balanced Physical Therapy & Wellness | Clinic/Center · Physical Therapy | 1515 S Russell St, Missoula, MT 59801-3629 | 2006-10-20 |
| 1881630358 | Access Physical Therapy & Wellness, Inc · Physical Therapy & Wellness, Inc | Physical Therapist | 8838 Us Highway 70 W, Suite 300, Clayton, NC 27520-4822 | 2006-06-21 |
| 1962929588 | J&j Physical Therapy and Wellness · Inspire Physical Therapy and Wellness | Clinic/Center · Physical Therapy | 280 Commerce St Ste 115, Southlake, TX 76092 | 2017-08-24 |
| 1821242439 | Monroe Physical Therapy Wellness, Pllc · Access Physical Therapy & Wellness | Physical Therapist | 505 State Route 208, Suite 30, Monroe, NY 10950-1608 | 2008-11-10 |
| 1710927330 | Linx Physical Therapy & Wellness · Linx Physical Therapy and Wellness Center | Physical Therapist | 12505 Homeport Dr, Suite A, Maurepas, LA 70449-3045 | 2006-06-08 |
| 1780997072 | Hope Physical Therapy and Wellness Center, LLC · Hope Physical Therapy and Wellness | Physical Therapist · Orthopedic | 7817 Rockwood Ln, Suite 315, Austin, TX 78757-1106 | 2010-07-15 |
| 1942239850 | Montgomery Physical Therapy & Wellness PC · Access Physical Therapy & Wellness | Physical Therapist | 20 Walnut Street, Suite B, Montgomery, NY 12549 | 2006-07-02 |
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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.