Individual provider Active NPI

Alex Luis Delapaz, PT, DPT

  • Physical Therapist
  • Portland, OR
National Provider Identifier
1114350899
Registry record updated Sep 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
60188 Issued in OR
Practice address
1305 SE MLK Jr Blvd Ste 101
Portland, OR 97214-3457
Phone
(503) 577-0318
Fax
(503) 710-9221
NPI assigned
Aug 16, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2026

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 60188 OR Primary

Addresses

Primary practice location

1305 SE MLK Jr Blvd Ste 101
Portland, OR 97214-3457

Mailing address

1305 SE MLK Jr Blvd Ste 101
Portland, OR 97214-3457
Phone (503) 577-0318

Other identifiers 3

IdentifierTypeStateIssuer
500661454MedicaidOR
1164899373OtherORTYPE 2 NPI
P01241225OtherORRR MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131017002017 OR Practitioner - Physical Therapist in Private Practice 4587898929 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1235 SE Grand Ave
Portland, OR 97214-3435
Phone (503) 577-0318

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Root & Branch Physical Therapy LLC Physical Therapist CurrentSince Sep 1, 2015 Accepting new patients
Root & Branch Integrative Fitness Physical Therapist CurrentSince Sep 5, 2021 Accepting new patients

Locations

1305 SE Mlk Blvd
Ste 101
Portland, OR 97214

1305 SE Mlk Jr Blvd
Ste 101
Portland, OR 97214
Phone (503) 577-0318

1235 SE Grand Ave
Portland, OR 97214
Phone (503) 577-0318

2232 NW Pettygrove St
Ste 110
Portland, OR 97210
Phone (503) 224-4804

Interoperability endpoints

  • Direct secure messaging: alex@rootandbranchpt.direct.kno2fy.com

Organizations & group practices 2

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": "1376611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789257600000",
    "number": "1114350899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 SE MLK JR BLVD STE 101",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972143457",
            "telephone_number": "503-577-0318",
            "fax_number": "503-710-9221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 SE MLK JR BLVD STE 101",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972143457",
            "telephone_number": "503-577-0318",
            "fax_number": "503-710-9221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELAPAZ",
        "first_name": "ALEX",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-16",
        "last_updated": "2026-09-13",
        "certification_date": "2026-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "60188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500661454",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 2 NPI",
            "identifier": "1164899373",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01241225",
            "state": "OR"
        }
    ],
    "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 13, 2026; 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.