Active NPIOrganization

Advance Sports & Spine Therapy LLC

Physical Therapist in West Linn, Oregon

NPI Number1831312818
Practice location
1554 Garden St # 103, West Linn, OR 97068-3278
Fax
503-655-9305
Last updated
August 3, 2023

Advance Sports & Spine Therapy LLC is a healthcare organization based in West Linn, OR. Advance Sports & Spine Therapy LLC practices in West Linn, OR. The NPI Number for Advance Sports & Spine Therapy LLC is 1831312818. The current practice location address for Advance Sports & Spine Therapy LLC is 1554 Garden St # 103, West Linn, OR 97068-3278 and can be reached out via phone at 503-723-0347 and via fax at 503-655-9305.

Provider Profile Details

NPI Number
1831312818
Provider Name
Advance Sports & Spine Therapy LLC
Provider Entity Type
Organization
Address
1554 Garden St # 103, West Linn, OR 97068-3278
Phone Number
503-723-0347
Fax Number
503-655-9305
Primary Taxonomy
Physical Therapist · 225100000X
Organization Subpart
No
Authorized Official
Mr. Noel Marcel Tenoso, PT · PT, Owner · 503-723-0347
Provider Enumeration Date
April 10, 2007
Last Update Date
August 3, 2023
Certification Date
August 3, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
1554 Garden St # 103
West Linn, OR 97068-3278
State
Oregon
Zip
97068-3278
Phone Number
503-723-0347
Fax Number
503-655-9305
West Linn, OR 97068Get directions →

Provider Business Mailing Address Details

Address
1554 Garden St Ste 103
West Linn, OR 97068-3278
City
West Linn
State
OR
Zip
97068-3278
Phone Number
503-723-0347
Fax Number
503-655-9305

License Information

License State (1)
OR
Taxonomy (1)
Physical Therapist · 225100000X
Taxonomy (2)
Clinic/Center, Physical Therapy · 261QP2000X
Taxonomy (3)
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 Advance Sports & Spine Therapy LLC?

The NPI number of Advance Sports & Spine Therapy LLC is 1831312818. It was assigned on April 10, 2007 and is currently active in the NPPES registry.

What is the specialty of Advance Sports & Spine Therapy LLC?

Advance Sports & Spine Therapy LLC is registered under the primary taxonomy Physical Therapist (code 225100000X).

Where does Advance Sports & Spine Therapy LLC practice?

The practice location is 1554 Garden St # 103, West Linn, OR 97068-3278. The office can be reached at 503-723-0347 (phone) or 503-655-9305 (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 1831312818 directly on the NPPES registry website.

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