ORTHOPEDIC & TMJ PHYSICAL THERAPY CENTER
NPI 1215133152
Clinic/Center - Physical Therapy in Portland, OR

NPI Status: Active since June 26, 2007

Contact Information

9204 SE MITCHELL ST
PORTLAND, OR
ZIP 97266
Phone: (503) 777-6746
Fax: (503) 777-0023

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  • Organization
  • Clinic/Center
  • Physical Therapy
  • Accepts Insurance

About ORTHOPEDIC & TMJ PHYSICAL THERAPY CENTER

This page provides the complete NPI Profile along with additional information for Orthopedic & Tmj Physical Therapy Center, a provider established in Portland, Oregon operating as a Clinic/center, focusing in physical therapy . The healthcare provider is registered in the NPI registry with number 1215133152 assigned on June 2007. The practitioner's primary taxonomy code is 261QP2000X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Mrs. Carol R Conrades Rt Physical Therapis (Owner Physical Therapist)

NPI
1215133152
Provider Name
ORTHOPEDIC & TMJ PHYSICAL THERAPY CENTER
Entity Type
Organization
Location Address
9204 SE MITCHELL ST PORTLAND, OR 97266
Location Phone
(503) 777-6746
Location Fax
(503) 777-0023
Mailing Address
9204 SE MITCHELL ST PORTLAND, OR 97266
Mailing Phone
(503) 777-6746
Mailing Fax
(503) 777-0023
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-26-2007
Last Update Date
06-19-2008
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Physical Therapy

Taxonomy Code
261QP2000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BridgeSpan Standard Bronze Plan - EPO
  • BridgeSpan Standard Gold Plan - EPO
  • BridgeSpan Standard Silver Plan - EPO
  • Moda Health Affinity Bronze 7750 - EPO
  • Moda Health Affinity Bronze 9000 - EPO
  • Moda Health Affinity Bronze HDHP 7500 - EPO
  • Moda Health Affinity Gold 1000 - EPO
  • Moda Health Affinity Gold 1500 - EPO
  • Moda Health Affinity Gold 250 - EPO
  • Moda Health Affinity Silver 3000 - EPO
  • Moda Health Affinity Silver 3400 - EPO
  • Moda Health Affinity Silver 4500 - EPO
  • Moda Health Affinity Silver 6000 - EPO
  • Moda Health Oregon Standard Bronze Affinity - EPO
  • Moda Health Oregon Standard Gold Affinity - EPO
  • Moda Health Oregon Standard Silver Affinity - EPO
  • Bronze Essential 8500 With 4 Copay No Deductible Office Visits Individual and Family Network - EPO
  • Bronze HSA 7000 Individual and Family Network - EPO
  • Gold 2300 Individual and Family Network - EPO
  • Gold 2300 Legacy - EPO
  • Regence Standard Bronze Plan Individual and Family Network - EPO
  • Regence Standard Bronze Plan Legacy - EPO
  • Regence Standard Gold Plan Individual and Family Network - EPO
  • Regence Standard Gold Plan Legacy - EPO
  • Regence Standard Silver Plan Individual and Family Network - EPO
  • Regence Standard Silver Plan Legacy - EPO
  • Silver 6200 Individual and Family Network - EPO
  • Silver 6200 Legacy - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. CAROL R CONRADES RT PHYSICAL THERAPIS

Authorized Official Title
OWNER PHYSICAL THERAPIST
Authorized Official Phone
(503) 777-6746

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
R0000WFBFGMEDICARE PIN (08)OR 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1215133152
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2225236110
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 2 + 5 + 2 + 3 + 6 + 1 + 1 + 0 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 22

The NPI number 1215133152 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1427065317 HEATHER JEAN DEFORD MPT
Individual
Physical Therapist9204 SE MITCHELL ST
PORTLAND, OR 97266
(503) 777-6746
1356487623 CAROL RAY CONRADES PT
Individual
Physical Therapist9204 SE MITCHELL ST
PORTLAND, OR 97266
(503) 777-6746
1518003896 HEATHER A HANNAM PT
Individual
Physical Therapist9204 SE MITCHELL ST
PORTLAND, OR 97266
(503) 777-6746
1548309149 JOANNE K DEAZLEY PT
Individual
Physical Therapist9204 SE MITCHELL ST
PORTLAND, OR 97266
(503) 777-6746
1194755355CAROL R CONRADES
Organization
Clinic/Center (Physical Therapy)9204 SE MITCHELL ST
PORTLAND, OR 97266
(503) 777-6746
1003413550 JENNA VALENTINE DPT
Individual
Physical Therapist9204 SE MITCHELL ST
PORTLAND, OR 97266
(503) 777-6746
1194361378 KATHRINA LEAVITT LMT
Individual
Massage Therapist9204 SE MITCHELL ST
PORTLAND, OR 97266
(503) 777-6746

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215133152, enumerated in the NPI registry as an "organization" on June 26, 2007

The provider is located at 9204 Se Mitchell St Portland, Or 97266 and the phone number is (503) 777-6746

This medical organization specializes in Clinic/Center with taxonomy code 261QP2000X with a focus in Physical Therapy

The provider might be accepting Accepts: BridgeSpan Health Company, Moda Health Plan, Inc.,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on June 26, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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