Individual provider Active NPI

Cali Lescas Hernandez, PT, DPT

  • Orthopedic Physical Therapist
  • Tigard, OR
National Provider Identifier
1053207191
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
65711 Issued in OR
Practice address
9735 SW Shady LN Ste 203B
Tigard, OR 97223-5481
Phone
(503) 223-1856
Fax
(503) 223-1856
NPI assigned
Jun 16, 2025
Last updated
Aug 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 65711 OR Primary

Addresses

Primary practice location

9735 SW Shady LN Ste 203B
Tigard, OR 97223-5481

Mailing address

2330 NW Flanders St Ste G1
Portland, OR 97210-3441
Phone (503) 223-1856

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250925001997 OR Practitioner - Physical Therapist in Private Practice 0042715534 Reassigns benefits to 1 organization

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
KJB Consulting CorporationGroup PAC ID 1759504590, 18 clinicians

Practice addresses (Care Compare)

9735 SW Shady LN
Suite 203B
Tigard, OR 97223-5481
Phone (503) 223-1856

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
65711ORMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
KJB Consulting Corporation Orthopedic CurrentSince Jun 27, 2025 Accepting new patients

Locations

1427 NW Flanders St
Ste A
Portland, OR 97209
Phone (503) 924-6535

2330 NW Flanders St
Ste G1
Portland, OR 97210
Phone (503) 224-9270

2525 NW Lovejoy St
Ste 202
Portland, OR 97210
Phone (503) 223-3078

9735 SW Shady Ln
Ste 203B
Tigard, OR 97223
Phone (503) 212-4504

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1750032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1053207191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 NW FLANDERS ST STE G1",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103441",
            "telephone_number": "503-223-1856",
            "fax_number": "503-223-1765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9735 SW SHADY LN STE 203B",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972235481",
            "telephone_number": "503-223-1856",
            "fax_number": "503-223-1856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "CALI",
        "middle_name": "LESCAS",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-16",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OR",
            "license": "65711",
            "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 Aug 21, 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.