- Practice location
- 5253 NE Sandy Blvd, Portland, OR 97213-2562
- Phone
- 503-766-4881
- Fax
- —
- Last updated
- February 1, 2024
Active Injury Rehab, LLC is a healthcare organization based in Portland, OR. The NPI number for Active Injury Rehab, LLC is 1003679200. The current practice location address is 5253 NE Sandy Blvd, Portland, OR 97213-2562 and the office can be reached by phone at 503-766-4881. The NPI was assigned on February 1, 2024 and the record was last updated in NPPES on February 1, 2024.
●Provider Profile Details
- NPI Number
- 1003679200
- Provider Name
- Active Injury Rehab, LLC
- Entity Type
- Organization (Type 2 NPI)
- Primary Taxonomy
- Chiropractor · 111N00000X
- Organization Subpart
- No
- Authorized Official
- Keenan Borgardt, DC · Owner · 503-440-7470
- Enumeration Date
- February 1, 2024
- Last Update Date
- February 1, 2024
- Certification Date
- February 1, 2024
- NPI Status
- Active
- Other Names
- Cascade Spine & Injury Center (Doing Business As)
◉Business Practice Location Address
- Address
- 5253 NE Sandy Blvd
Portland, OR 97213-2562 - City
- Portland
- State
- Oregon
- ZIP
- 97213-2562
- Country
- US
- Phone Number
- 503-766-4881
✉Business Mailing Address
- Address
- 1605 NE 51ST Ave
Portland, OR 97213-2703 - City
- Portland
- State
- OR
- ZIP
- 97213-2703
- Phone Number
- 503-440-7470
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Acupuncturist 193200000X - Multi-Specialty Group | 171100000X | No | — | — |
| Massage Therapist 193200000X - Multi-Specialty Group | 225700000X | No | — | — |
| Chiropractor 193200000X - Multi-Specialty Group | 111N00000X | Yes | — | — |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Portland →?Frequently Asked Questions
What is the NPI number of Active Injury Rehab, LLC?
The NPI number of Active Injury Rehab, LLC is 1003679200. It was assigned on February 1, 2024 and is currently active in the NPPES registry.
What is the specialty of Active Injury Rehab, LLC?
Active Injury Rehab, LLC is registered under the primary taxonomy Chiropractor (code 111N00000X).
Where does Active Injury Rehab, LLC practice?
The practice location is 5253 NE Sandy Blvd, Portland, OR 97213-2562. The office can be reached at 503-766-4881 (phone).
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 1003679200 directly on the NPPES registry website at npiregistry.cms.hhs.gov.