STEPHANIE CARDELLA BODEN
NPI 1700557840
Physical Therapy Assistant in Portland, OR

Active since September 27, 2021
4400 NE HALSEY ST, PORTLAND, OR 97213(503) 215-6556 Get Directions Write a Review

NPPES record last updated: September 27, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Stephanie Cardella Boden NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHANIE CARDELLA BODEN (NPI 1700557840) is an individual physical therapy assistant in Portland, Oregon, licensed in Oregon (9334) and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1700557840
Entity TypeIndividualFemale
Primary Taxonomy225200000X
Provider Legal NameSTEPHANIE CARDELLA BODEN
Location Address4400 NE HALSEY STPortland, OR 97213-1545
Mailing Address13511 Se Taylor CtPortland, OR 97233-1970 · (503) 860-8199
Sole ProprietorNo
Enumeration DateSeptember 27, 2021
NPPES CertifiedSeptember 27, 2021
NPI 1700557840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225200000X
License Licensed in OR · 9334
Definition

(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient's responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life.

4400 NE HALSEY ST, Portland, OR 97213

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D2248298

Stephanie Gardens · Portland, OR
Active · expires Jan 11, 2028
CLIA Number38D2248298
Laboratory TypeAssisted Living Facility
Certificate Effective DateJanuary 12, 2026
Certificate Expiration DateJanuary 11, 2028
Laboratory DirectorAleksandr A. Vinokurov
Laboratory Phone(971) 274-2751
Laboratory LocationStephanie Gardens19751 SE Stark St, Portland, OR 97233
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
4400 NE HALSEY ST, BUILDING 2, 3RD FLOOR
PORTLAND, OR 97213
Pharmacist (Pharmacotherapy)
4400 NE HALSEY ST, 4TH FLOOR
PORTLAND, OR 97213
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
4400 NE HALSEY ST, BUILDING 2, FOURTH FLOOR
PORTLAND, OR 97213
Pharmacist
4400 NE HALSEY ST, BUILDING 2, FOURTH FLOOR
PORTLAND, OR 97213
Pharmacist (Ambulatory Care)
4400 NE HALSEY ST
PORTLAND, OR 97213
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
4400 NE HALSEY ST, SUITE 490
PORTLAND, OR 97213
Pharmacist (Ambulatory Care)
4400 NE HALSEY ST, BUILDING 2, 4TH FLOOR
PORTLAND, OR 97213
Pharmacist (Ambulatory Care)
4400 NE HALSEY ST, BUILDING 2 SUITE 490
PORTLAND, OR 97213

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700557840, enumerated as an "individual" on September 27, 2021.

The provider is located at 4400 NE HALSEY ST PORTLAND, OR 97213 and the phone number is (503) 215-6556.

Physical Therapy Assistant with taxonomy code 225200000X.