Active NPI
Ava Scoccia, PT
- Orthopedic Physical Therapist
- Portland, OR
National Provider Identifier
1033095484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 65709
- Practice address
- 11850 SW 67TH Ave Ste 145
Portland, OR 97223-8963 - Phone
- (503) 749-9360
- NPI assigned
- Aug 12, 2025
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 65709 | OR | Primary |
Addresses
Primary practice location
11850 SW 67TH Ave Ste 145
Portland, OR 97223-8963
Mailing address
11850 SW 67TH Ave Ste 145
Portland, OR 97223-8963
Phone (503) 749-9360
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11850 SW 67TH Ave
Suite 145
Tigard, OR 97223-8961
Phone (503) 749-9360
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65709 | OR | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mendwell Health LLC | Orthopedic | Current | Accepting new patients |
Locations
11850 SW 67th Ave
Ste 145
Tigard, OR 97223
Phone (503) 749-9360
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754956800000",
"number": "1033095484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11850 SW 67TH AVE STE 145",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972238963",
"telephone_number": "503-749-9360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11850 SW 67TH AVE STE 145",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972238963",
"telephone_number": "503-749-9360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOCCIA",
"first_name": "AVA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-08-12",
"last_updated": "2025-08-12",
"certification_date": "2025-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "OR",
"license": "65709",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 12, 2025; 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.