Southeast Physical Therapy, P.C.

LBN: Southeast Physical Therapy, P.C.
Southeast Physical Therapy, P.C. is an health care organization with primary practice located at 2725 Se Steele St , Portland OR 97202-4617. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Southeast Physical Therapy, P.C. can be contacted via phone (503) 234-4858, or through Feely, Michael J via phone (503) 234-4858.

Contact Information

Primary practice address
2725 Se Steele St Portland OR 97202-4617
Fax: (503) 234-3227
Website:
Authorized official contact:
Name: Feely, Michael J Registered Physical Therapist (RPT)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X 1191 Oregon
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X PT00002913 Washington

Profile Details

NPI number 1235120031
LBN Legal business name Southeast Physical Therapy, P.C.
DBA Doing business as
Authorized official Feely, Michael J Registered Physical Therapist (RPT)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 31st, 2005
Last updated Oct 17th, 2007 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235120031 NPPES
Oregon MEDICAID 156257

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