SUPERB PHYSICAL THERAPY AND WELLNESS LLC
Clinic/Center (Physical Therapy)

Address: 16672 Nw Stoller Dr, Portland, OR 97229-7376

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Taxonomy Group
Y 261QP2000X Clinic/Center
Specialization: Physical Therapy
Ambulatory Health Care Facilities

Office Location

Street Address 16672 NW STOLLER DR
City PORTLAND
State OR
Zip Code 97229-7376

Providers in the same zip code prefix

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 Information

Taxonomy Code 261QP2000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Physical Therapy

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

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City PORTLAND
Zip Code 97229

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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.