Active NPI
Byron J. Herigstad, PT
- Physical Therapist
- Newberg, OR
National Provider Identifier
1023083979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1549
- Practice address
- 120-C N Everest Rd
Newberg, OR 97132 - Phone
- (503) 538-8952
- Fax
- (503) 537-2027
- NPI assigned
- Feb 22, 2006
- Sex
- Male
- 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 | 1549 | OR | Primary |
Addresses
Primary practice location
120-C N Everest Rd
Newberg, OR 97132
Mailing address
20400 NE Niederberger Rd
Dundee, OR 97115-9005
Phone (503) 538-5841
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 318492 | Other | OR | PROVIDENCE HEALTH PLAN |
| 071014 | Medicaid | OR | |
| 5732048 | Other | OR | AETNA |
| K7283 01 | Other | OR | PACIFIC SOURCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pearls Counseling LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Newberg, OR
- NPI 1013325497
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1023083979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20400 NE NIEDERBERGER RD",
"city": "DUNDEE",
"state": "OR",
"postal_code": "971159005",
"telephone_number": "503-538-5841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120-C N EVEREST RD",
"city": "NEWBERG",
"state": "OR",
"postal_code": "97132",
"telephone_number": "503-538-8952",
"fax_number": "503-537-2027"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERIGSTAD",
"first_name": "BYRON",
"middle_name": "J.",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-22",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "1549",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDENCE HEALTH PLAN",
"identifier": "318492",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "071014",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5732048",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PACIFIC SOURCE",
"identifier": "K7283 01",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newberg, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.