Active NPI
Molly Jo Cruz, PT
- Physical Therapist
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT3340
- Practice address
- 11782 SW Barnes Rd Ste 100
Portland, OR 97225-5931 - Phone
- (503) 906-4323
- Fax
- (503) 906-6613
- NPI assigned
- May 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT3340 | OR | Primary |
Addresses
Primary practice location
11782 SW Barnes Rd Ste 100
Portland, OR 97225-5931
Mailing address
11782 SW Barnes Rd Ste 100
Portland, OR 97225-5931
Phone (503) 906-4323
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT3340 | Other | OR | OREGON LICENSE |
Other names 1
- Molly Jo Daly
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060607000125 | OR | Practitioner - Physical Therapist in Private Practice | 9133131220 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Orthopedic and Fracture Clinic PC
Practice addresses (Care Compare)
11782 SW Barnes Rd
Suite 300
Portland, OR 97225-5933
Phone (503) 214-5200
Merit-based Incentive Payment System (MIPS)
- Final score
- 54.33 of 100
- Quality
- 57.12
- Promoting interoperability
- 0
- Improvement activities
- 30
- Cost
- 86.48
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT3340 | OR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic & Fracture Clinic PC | Current | Accepting new patients | |
| North Lake Physical Therapy and Rehab LP | Physical Therapist | Current | Accepting new patients |
| Therapeutic Associates Inc | Physical Therapist | Current | Accepting new patients |
| Therapeutic Associates Inc | Physical Therapist | Current | Accepting new patients |
| Orthopedic & Fracture Clinic PC | Current | Accepting new patients | |
| Therapeutic Associates Inc | Physical Therapist | Current | Accepting new patients |
| Therapeutic Associates Inc | Physical Therapist | Past | Accepting new patients |
Locations
14795 SW Murray Scholls Dr
Ste 109
Beaverton, OR 97007
Phone 5039064301 ext. 4301
620 SE Oak St
Ste A
Hillsboro, OR 97123
Phone (503) 648-0661
101 S State St
Ste 4200
Lake Oswego, OR 97034
Phone (503) 636-3025
4606 SE Boardman Ave
Portland, OR 97267
Phone (503) 353-9776
11782 SW Barnes Rd
Ste 100
Portland, OR 97225
Phone (503) 214-5200
11782 SW Barnes Rd
Ste 300
Portland, OR 97225
Phone (503) 214-5200
10215 SW Parkway
Ste D
Portland, OR 97225
Phone (503) 292-3583
21 Cowlitz St
Saint Helens, OR 97051
Phone (503) 396-5411
58147 Columbia River Hwy
Ste A
Saint Helens, OR 97051
Phone (503) 397-1914
20055 SW Pacific Hwy
Ste 110
Sherwood, OR 97140
Phone (503) 625-1691
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Lake Oswego, OR
- NPI 1316383201
OR, Physical Therapist
-
- Orthopaedic Surgery Physician
- Portland, OR
- NPI 1871050153
-
- Physical Therapist
- Portland, OR
- NPI 1144042649
-
- Physical Therapist
- Sherwood, OR
- NPI 1750367108
-
- Physical Therapist
- Portland, OR
- NPI 1700862000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724198400000",
"number": "1003868340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11782 SW BARNES RD STE 100",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972255931",
"telephone_number": "503-906-4323",
"fax_number": "503-906-6613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11782 SW BARNES RD STE 100",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972255931",
"telephone_number": "503-906-4323",
"fax_number": "503-906-6613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ",
"first_name": "MOLLY",
"middle_name": "JO",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-16",
"last_updated": "2024-08-21",
"certification_date": "2024-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "PT3340",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OREGON LICENSE",
"identifier": "PT3340",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MOLLY",
"last_name": "DALY",
"middle_name": "JO",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.