Jody Lynn Korepta in Portland - Physical Therapist
Jody Lynn Korepta - NPI 1003890039
Jody Lynn Korepta is a Physical Therapist in Portland, Oregon. Jody Lynn Korepta practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Jody Lynn Korepta is 1003890039. The last update date is 2007-07-08.
Jody Lynn Korepta's current location address is 11481 Sw Hall Blvd, Portland, Oregon. You can contact this provider via phone number 8002198835 and fax number 5034431402. The mailing address for Jody Lynn Korepta is 11481 Sw Hall Blvd, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jody Lynn Korepta |
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Address | 11481 Sw Hall Blvd, Portland, Oregon |
Phone Number | 8002198835 |
Fax Number | 5034431402 |
Sole Proprietor | X |
Credentials | SPEECH THE |
NPI Number Detail
NPI Number | 1003890039 |
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Provider Enumeration Date | 2005-12-02 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 11481 Sw Hall Blvd |
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City | Portland |
State | Oregon (OR) |
Post Code | 972238403 |
Phone Number | 8002198835 |
Fax Number | 5034431402 |
Provider's Primary Taxonomy Detail
Speciality | Physical Therapist |
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Taxonomy | 225100000X |
Licence No | 11215 |
Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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227946 | OR | -- |
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What is the unique identification code assigned to Jody Lynn Korepta by the Centers for Medicare & Medicaid Services?
The Jody Lynn Korepta has been issued the NPI (National Provider Identifier) 1003890039. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Jody Lynn Korepta?
The Jody Lynn Korepta is physically situated at 11481 Sw Hall Blvd, in the city of Portland, state of OR, with the postal code 972238403.
What is Jody Lynn Korepta's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jody Lynn Korepta is Physical Therapist, and the taxonomy code that categorizes this field of expertise is 225100000X.
On what date was the 1003890039 assigned to Jody Lynn Korepta?
The Jody Lynn Korepta was issued its 1003890039 on 2005-12-02, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Jody Lynn Korepta most recently updated or revised?
The details related to Jody Lynn Korepta, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
NPI Number: 1699778829
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