Individual provider Active NPI

Miranda Rose Paasche, PT, DPT

  • Physical Therapist
  • Tigard, OR
National Provider Identifier
1043785876
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
295644 Issued in CA
Practice address
12700 SW Pacific Hwy
Tigard, OR 97223-6136
Phone
(503) 753-1537
Fax
(503) 573-8004
NPI assigned
Oct 8, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 295644 CA Primary

Addresses

Primary practice location

12700 SW Pacific Hwy
Tigard, OR 97223-6136

Mailing address

28887 Pujol St Apt 1425
Temecula, CA 92590-6744
Phone (503) 754-8869

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240827004533 OR Practitioner - Physical Therapist in Private Practice 2668716366 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tigard Physical Therapy IncGroup PAC ID 8123005345, 3 clinicians

Practice addresses (Care Compare)

12700 SW Pacific Hwy
Tigard, OR 97223-6136
Phone (503) 753-1537

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tigard Physical Therapy Inc Physical Therapist CurrentSince Aug 14, 2024 Accepting new patients
Choice Physical Therapy Inc PastSince Oct 1, 2018 Accepting new patients
Elite Physical Therapy and Wellness, Inc. Physical Therapist PastSince Mar 7, 2021 Accepting new patients

Locations

12700 SW Pacific Hwy
Tigard, OR 97223
Phone (503) 753-1537

18019 SW Lower Boones Ferry Rd
Tigard, OR 97224
Phone (503) 521-7086

Networks

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

Organizations & group practices 3

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": "1538956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1043785876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28887 PUJOL ST APT 1425",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925906744",
            "telephone_number": "503-754-8869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12700 SW PACIFIC HWY",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972236136",
            "telephone_number": "503-753-1537",
            "fax_number": "503-573-8004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAASCHE",
        "first_name": "MIRANDA",
        "middle_name": "ROSE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-08",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "295644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tigard, OR

Sources for this page

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

Verify at the official NPI Registry.