Kordell Lewis McPherson, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

64627 Issued in OR

Practice address

16621 Champion Way Ste 100
Sandy, OR 97055-7258

Phone

(503) 668-5321

NPI assigned

Jul 25, 2022

Last updated

Sep 15, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Endeavor Physical Therapy IncGroup PAC ID 1153427067, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• WA PPO C-SNP
• devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Endeavor Physical Therapy, Inc.

  • Physical Therapist
  • Damascus, OR
  • NPI 1457577553
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1658707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1033845953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 NE HILL WAY",
            "city": "ESTACADA",
            "state": "OR",
            "postal_code": "970237663",
            "telephone_number": "503-894-1581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16621 CHAMPION WAY STE 100",
            "city": "SANDY",
            "state": "OR",
            "postal_code": "970557258",
            "telephone_number": "503-668-5321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "285 NE Hill Way",
            "address_purpose": "LOCATION",
            "city": "Estacada",
            "state": "OR",
            "postal_code": "970237663",
            "country_code": "US",
            "telephone_number": "503-894-1581",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCPHERSON",
        "first_name": "KORDELL",
        "middle_name": "LEWIS",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-25",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "64627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah L McCarter, LCSW
• Gloria Regina McCarthy, RPH
• Christina McClory, RN
• Richard Ryan McEvoy, OD
• Cheri Anne McMahan, OPTICIAN
• Nola Meier
• Ian Melville
• Julia Anne Menard, FNP-BC
• Julia M Meyer, L.M.T.
• Lili Micaela

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; 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.

Verify at the official NPI Registry.