Provider Demographics
NPI:1255887220
Name:INSPIRE PHYSICAL THERAPY
Entity type:Organization
Organization Name:INSPIRE PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:JEANNE
Authorized Official - Last Name:BOUSQUET
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:925-984-3635
Mailing Address - Street 1:14780 SW OSPREY DRIVE
Mailing Address - Street 2:SUITE 270
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97007
Mailing Address - Country:US
Mailing Address - Phone:925-984-3635
Mailing Address - Fax:971-249-3191
Practice Address - Street 1:14780 SW OSPREY DR
Practice Address - Street 2:SUITE 270
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97007-8028
Practice Address - Country:US
Practice Address - Phone:925-984-3635
Practice Address - Fax:971-249-3191
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-30
Last Update Date:2016-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR60890261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy