Active NPI
Katherine Hamilton, PTA
- Physical Therapy Assistant
- Portland, OR
National Provider Identifier
1083121727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 9845
- Practice address
- 11850 SW 67TH Ave Ste 145
Portland, OR 97223-8961 - Phone
- (503) 749-9360
- NPI assigned
- Jan 3, 2018
- Last updated
- Sep 16, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA003956 | GA | |
| Physical Therapy Assistant | 225200000X | 9845 | OR | Primary |
Addresses
Primary practice location
11850 SW 67TH Ave Ste 145
Portland, OR 97223-8961
Mailing address
11330 SW Barber St
Wilsonville, OR 97070-7397
Phone (904) 654-7420
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 |
|---|---|---|---|
| 9845 | OR | MD | Oncology Pharmacist |
| PTA003956 | GA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mendwell Health LLC | Current | Accepting new patients |
Locations
311 B Ave
Ste L
Lake Oswego, OR 97034
Phone (503) 699-6636
11850 SW 67th Ave
Ste 145
Tigard, OR 97223
Phone (503) 749-9360
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": "1514937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726444800000",
"number": "1083121727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11330 SW BARBER ST",
"city": "WILSONVILLE",
"state": "OR",
"postal_code": "970707397",
"telephone_number": "904-654-7420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11850 SW 67TH AVE STE 145",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972238961",
"telephone_number": "503-749-9360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMILTON",
"first_name": "KATHERINE",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-03",
"last_updated": "2024-09-16",
"certification_date": "2024-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "GA",
"license": "PTA003956",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "OR",
"license": "9845",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.