HOLOGRAPHIC BODY LLC
NPI 1710752191
Clinic/Center - Physical Therapy in Portland, OR

Active since November 16, 2023
3014 NE KILLINGSWORTH, PORTLAND, OR 97211(541) 954-7091 Get Directions Write a Review

NPPES record last updated: November 16, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Holographic Body Llc NPPES

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

HOLOGRAPHIC BODY LLC (NPI 1710752191) is a healthcare organization registered as a physical therapy in Portland, Oregon and active in the NPI registry since November 2023. The organization lists Adam Persinger, Owner, as its authorized official.

NPPES Registry Identity

NPI1710752191
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameHOLOGRAPHIC BODY LLC
Location Address3014 NE KILLINGSWORTHPortland, OR 97211
Mailing Address3834 Ne Simpson StPortland, OR 97211-7961
Organization SubpartNo
Authorized OfficialAdam PersingerOwner · (541) 954-7091
Enumeration DateNovember 16, 2023
NPPES CertifiedNovember 13, 2023
NPI 1710752191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
Definition
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
3014 NE KILLINGSWORTH, Portland, OR 97211

Other Identifiers 1

Other1356065692OR · Npi

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Holographic Body LLC's NPI number?

The NPI number for Holographic Body LLC is 1710752191. It was assigned to this organization in the NPPES registry on November 16, 2023.

Where is Holographic Body LLC located?

Holographic Body LLC is located at 3014 NE Killingsworth, Portland, OR 97211. The listed phone number is (541) 954-7091.

What is Holographic Body LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

When was this NPI record last updated?

The NPPES record for Holographic Body LLC was last updated on November 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.