Active NPI
Michael G Pierce, PT
- Physical Therapist
- Salem, OR
National Provider Identifier
1073591418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0346
- Practice address
- 685 36TH Ave NE
Salem, OR 97301 - Phone
- (503) 371-8860
- Fax
- (503) 371-9299
- NPI assigned
- Jan 5, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 0346 | OR | Primary |
Addresses
Primary practice location
685 36TH Ave NE
Salem, OR 97301
Mailing address
PO Box 12686
Salem, OR 97309
Phone (503) 540-8701
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 207121 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0346 | OR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PT Northwest LLC | Past | Accepting new patients |
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.
-
- Physical Therapy Clinic/Center
- Salem, OR
- NPI 1417934886
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1073591418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12686",
"city": "SALEM",
"state": "OR",
"postal_code": "97309",
"telephone_number": "503-540-8701",
"fax_number": "503-371-8772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "685 36TH AVE NE",
"city": "SALEM",
"state": "OR",
"postal_code": "97301",
"telephone_number": "503-371-8860",
"fax_number": "503-371-9299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIERCE",
"first_name": "MICHAEL",
"middle_name": "G",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-05",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "0346",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "207121",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.