360 DEGREE SPORTS MEDICINE & SPINE THERAPY LLC
NPI 1528268588
Physical Therapist - Orthopedic in Portland, OR
- Organization
- Physical Therapist
- Orthopedic
- Accepts Insurance
About 360 DEGREE SPORTS MEDICINE & SPINE THERAPY LLC
This page provides the complete NPI Profile along with additional information for 360 Degree Sports Medicine & Spine Therapy Llc, a provider established in Portland, Oregon operating as a Physical Therapist, focusing in orthopedic . The healthcare provider is registered in the NPI registry with number 1528268588 assigned on July 2007. The practitioner's primary taxonomy code is 2251X0800X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's former legal business name is 360 Degree Sports Medicine & Spine Therapy. The authorized official of this NPI record is Michelle Coffman P.t. (Ceo)
- NPI
- 1528268588 Verify this NPI
- Provider Legal Name
- 360 DEGREE SPORTS MEDICINE & SPINE THERAPY LLC
- Other Organization Name
- 360 DEGREE SPORTS MEDICINE & SPINE THERAPY
- Other Name Type
- Former Legal Business Name (4)
- Entity Type
- Organization
- Location Address
- 1215 SE 8TH AVE. SUITE D PORTLAND, OR 97214
- Location Phone
- (503) 248-0360
- Location Fax
- (503) 334-3675
- Mailing Address
- 1215 SE 8TH AVE. SUITE D PORTLAND, OR 97214
- Mailing Phone
- (503) 248-0360
- Mailing Fax
- (503) 334-3675
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-18-2007
- Last Update Date
- 10-31-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physical Therapist Orthopedic
- Taxonomy Code
- 2251X0800X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy Description
- A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QP2000X | Ambulatory Health Care Facilities | Clinic/Center | 3018 (OR) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BridgeSpan Standard Bronze Plan - EPO
- BridgeSpan Standard Gold Plan - EPO
- BridgeSpan Standard Silver Plan - EPO
- Moda Health Affinity Bronze 8000 - EPO
- Moda Health Affinity Bronze 9000 - EPO
- Moda Health Affinity Bronze HDHP 7500 - EPO
- Moda Health Affinity Gold 1000 - EPO
- Moda Health Affinity Gold 1500 - EPO
- Moda Health Affinity Gold 250 - EPO
- Moda Health Affinity Silver 3000 - EPO
- Moda Health Affinity Silver 3400 - EPO
- Moda Health Affinity Silver 4500 - EPO
- Moda Health Affinity Silver 6000 - EPO
- Moda Health Oregon Standard Bronze Affinity - EPO
- Moda Health Oregon Standard Gold Affinity - EPO
- Moda Health Oregon Standard Silver Affinity - EPO
- Bronze 8000 Individual Connect - EPO
- Bronze Essential 9000 With 4 Copay No Deductible Office Visits Individual Connect - EPO
- Bronze Essential 9000 With 4 Copay No Deductible Office Visits Legacy - EPO
- Bronze HSA 7000 Individual Connect - EPO
- Gold 2300 Individual Connect - EPO
- Gold 2300 Legacy - EPO
- Regence Standard Bronze Plan Individual Connect - EPO
- Regence Standard Bronze Plan Legacy - EPO
- Regence Standard Gold Plan Individual Connect - EPO
- Regence Standard Gold Plan Legacy - EPO
- Regence Standard Silver Plan Individual Connect - EPO
- Regence Standard Silver Plan Legacy - EPO
- Silver 6500 Individual Connect - EPO
- Silver 6500 Legacy - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1528268588, enumerated as an "organization" on July 18, 2007.
The provider is located at 1215 SE 8TH AVE. SUITE D PORTLAND, OR 97214 and the phone number is (503) 248-0360.
Physical Therapist with taxonomy code 2251X0800X and a focus in Orthopedic.
The provider might be accepting Accepts: BridgeSpan Health Company, Moda Health Plan, Inc.. Please consult your insurance carrier or call the provider to verify.
