OrganizationActive
Mind Body Therapy
NPI 1851764906 · Physical Therapy Clinic/Center · Portland, OR
Provider details
- NPI number
- 1851764906
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Rajesh Khemraj, Owner(503) 560-4672
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
11959 Sw Garden Pl
Portland, OR 97223-8249
Phone: (503) 620-0781
Fax: (503) 427-9553
Street-level locationGet directions
Mailing address
11959 Sw Garden Pl
Portland, OR 97223-8249
Registry dates
- Enumerated
- 2015-11-10
- Last updated
- 2020-12-15
- Certified
- 2020-12-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.