Clarissa Freeman-Pancoast, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

63858 Issued in OR

Practice address

734 NE Baker St
McMinnville, OR 97128-4927

Phone

(503) 376-4224

NPI assigned

Nov 6, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Momentum Performance & Physical Therapy

  • Physical Therapist
  • McMinnville, OR
  • NPI 1154124857
  NPD Authorized official
• Therapeutic Associates Inc

  • Physical Therapist
  • Portland, OR
  • NPI 1700862000
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1604620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1033710843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1942 NW KALE WAY",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971281628",
            "telephone_number": "503-376-4224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "734 NE BAKER ST",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971284927",
            "telephone_number": "503-376-4224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN-PANCOAST",
        "first_name": "CLARISSA",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-06",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "63858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Betty Foufos
• Zelda Philippa Fox
• Stephanie Paris Franco
• Laura A Frank
• Hailey Franks
• Emily Rose Frey, MOT, OTR/L, QMHP
• Lisa Friberg, DMD
• Ellen G. Frichette, R.N.
• Joel Brian Friedrich, PSS
• Shanta Marie Frisbee, BSW, CADC

• Physical Therapist in McMinnville, OR
• Providers in McMinnville, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.

Verify at the official NPI Registry.