OrganizationActive
Integrative Spine & Body Medicine
NPI 1417270521 · Physical Medicine & Rehabilitation Physician · Portland, OR
Provider details
- NPI number
- 1417270521
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Israel Sostrin, Vice President(503) 327-4756
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Physical Therapist225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5909 Se Division St
Portland, OR 97206-1470
Phone: (503) 231-3633
Fax: (503) 234-2367
Street-level locationGet directions
Mailing address
5909 Se Division St
Portland, OR 97206-1470
Other names (DBA / former)
- Doing business as
- Wholeness in Motion
Registry dates
- Enumerated
- 2010-03-03
- Last updated
- 2015-09-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.