Sportscare Physical Therapy @ Cornell, Llc

LBN: Sportscare Physical Therapy @ Cornell, Llc
Sportscare Physical Therapy @ Cornell, Llc is an health care organization with primary practice located at 15390 Nw Cornell Rd. Suite 230, Beaverton OR 97006. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Sportscare Physical Therapy @ Cornell, Llc can be contacted via phone (503) 257-9881, or through Fricke, Joseph John via phone (503) 257-9881.

Contact Information

Primary practice address
15390 Nw Cornell Rd. Suite 230 Beaverton OR 97006
Phone: (503) 257-9881
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fricke, Joseph John Physical Therapist (PT)
Phone: (503) 257-9881

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X 1660 Oregon

Profile Details

NPI number 1649534793
LBN Legal business name Sportscare Physical Therapy @ Cornell, Llc
DBA Doing business as
Authorized official Fricke, Joseph John Physical Therapist (PT)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 3rd, 2012
Last updated Jul 3rd, 2012 - about 12 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 1649534793 NPPES
Oregon MEDICAID 072538

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