Active NPIIndividual provider

Ms. Heather Casebolt, MSPT

Physical Therapist in Portland, Oregon

NPI Number1376570697
Practice location
11782 SW Barnes RD Ste 100, Portland, OR 97225-5931
Fax
503-906-6613
Last updated
November 18, 2021

Heather Casebolt is a Physical Therapist based in Portland, OR. Heather Casebolt practices in Portland, OR and has the professional credentials of MSPT. The NPI Number for Heather Casebolt is 1376570697 and holds a License No. 4267 (OR). The current practice location address for Heather Casebolt is 11782 SW Barnes RD Ste 100, Portland, OR 97225-5931 and can be reached out via phone at 503-906-4323 and via fax at 503-906-6613.

Provider Profile Details

NPI Number
1376570697
Provider Name
Heather Casebolt
Credential
MSPT
Provider Entity Type
Individual
Gender
Female
Address
11782 SW Barnes RD Ste 100, Portland, OR 97225-5931
Phone Number
503-906-4323
Fax Number
503-906-6613
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
June 26, 2006
Last Update Date
November 18, 2021
Certification Date
November 18, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
11782 SW Barnes RD Ste 100
Portland, OR 97225-5931
State
Oregon
Zip
97225-5931
Phone Number
503-906-4323
Fax Number
503-906-6613
Portland, OR 97225Get directions →

Provider Business Mailing Address Details

Address
11782 SW Barnes RD
Ste 300
Portland, OR 97225-5933
City
Portland
State
OR
Zip
97225-5933
Phone Number
503-906-4323
Fax Number
503-906-6616

License Information

License Number
4267
License State
OR
Taxonomy
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Heather Casebolt, MSPT?

The NPI number of Ms. Heather Casebolt, MSPT is 1376570697. It was assigned on June 26, 2006 and is currently active in the NPPES registry.

What is the specialty of Ms. Heather Casebolt, MSPT?

Ms. Heather Casebolt, MSPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in OR under license number 4267.

Where does Ms. Heather Casebolt, MSPT practice?

The practice location is 11782 SW Barnes RD Ste 100, Portland, OR 97225-5931. The office can be reached at 503-906-4323 (phone) or 503-906-6613 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1376570697 directly on the NPPES registry website.

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