NPI 1407365331 · live from the CMS NPI Registry
Benchmark Physical Therapy Of Or, LLC
Physical Therapist in Wilsonville, OR. National Provider Identifier 1407365331, active.
NPI record
| NPI | 1407365331 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 8642 Sw Main St Ste 130, Wilsonville, OR 97070 |
| Practice phone | 503-855-4909 |
| Mailing address | 6397 Lee Hwy Ste 300, Chattanooga, TN 37421 |
| Enumerated | September 22, 2017 |
| Last updated | September 22, 2017 |
| Authorized official | Kevin Johanneson, Vp Revenue Cycle |
| Other names | Benchmark PT - Wilsonville |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapist | 225X00000X | — |
| Speech-Language Pathologist, | 235Z00000X | — |
| Physical Therapist primary | 225100000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.