Green Heron Physical Therapy LLC
NPI 1518558469 · Physical Therapy Clinic/Center · Portland, OR
Green Heron Physical Therapy LLC is a Physical Therapy Clinic/Center organization in Portland, OR (NPI 1518558469).
Provider details
- NPI number
- 1518558469
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mario Urdaneta-Moncada, Owner, Physical Therapist(661) 717-9692
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
Mailing address
Registry dates
- Enumerated
- 2021-02-02
- Last updated
- 2021-02-02
- Certified
- 2021-01-06
Frequently asked questions
- What is Green Heron Physical Therapy LLC's NPI number?
- Green Heron Physical Therapy LLC's National Provider Identifier (NPI) is 1518558469, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Green Heron Physical Therapy LLC?
- Green Heron Physical Therapy LLC is classified in the NPPES registry as Physical Therapy Clinic/Center (Ambulatory Health Care Facilities).
- Where is Green Heron Physical Therapy LLC located?
- Green Heron Physical Therapy LLC's practice location on file with NPPES is 1706 Nw 24th Ave Unit 96034, Portland, OR 97296-6613.
- What is Green Heron Physical Therapy LLC's phone number?
- The practice phone number listed in the NPPES registry for Green Heron Physical Therapy LLC is (661) 717-9692.
- Who is the authorized official for Green Heron Physical Therapy LLC?
- The authorized official listed on Green Heron Physical Therapy LLC's NPPES record is Mario Urdaneta-Moncada, Owner, Physical Therapist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Green Heron Physical Therapy LLC's NPI active?
- Yes — Green Heron Physical Therapy LLC's NPI (1518558469) is active in the NPPES registry as of the last update on 2021-02-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.