Organization Active NPI

Pain & Performance Coach LLC

  • Physical Therapist
  • Hillsboro, OR
National Provider Identifier
1083373419
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PAIN & PERFORMANCE COACH LLC
Practice address
2900 SE Cornelius Pass Rd Ste 114
Hillsboro, OR 97123-6766
Phone
(971) 364-0909
Fax
(971) 441-5564
NPI assigned
Dec 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Authorized official

Name
Dr. Michael Makher, DPTNPI 1558915769
Title
Physical Therapist/Coach
Phone
(971) 364-0909

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

2900 SE Cornelius Pass Rd Ste 114
Hillsboro, OR 97123-6766

Mailing address

1173 NE Perl Way
Beaverton, OR 97006-2496
Phone (215) 584-2584

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220118002469 OR Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8527450816 Receives reassigned benefits from 2 practitioners
Practice locations: Hillsboro, OR

National Provider Directory

National Provider Directory

Locations

2900 SE Cornelius Pass Rd
Ste 114
Hillsboro, OR 97129
Phone (971) 364-0909

2900 SE Cornelius Pass Rd
Ste 103
Hillsboro, OR 97129

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1639353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717027200000",
    "number": "1083373419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1173 NE PERL WAY",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970062496",
            "telephone_number": "215-584-2584",
            "fax_number": "971-441-5564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 SE CORNELIUS PASS RD STE 114",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971236766",
            "telephone_number": "971-364-0909",
            "fax_number": "971-441-5564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN & PERFORMANCE COACH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-13",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A",
        "authorized_official_last_name": "MAKHER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/COACH",
        "authorized_official_telephone_number": "971-364-0909",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.