Emily Mei Aoki, DPT

Individual provider Active NPI Physical Therapist · Milwaukie, OR

NPI 1154086155 · NPPES record last updated Nov 4, 2021

Key facts

NPI
1154086155
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
64282 (CT)
Practice address
4606 SE Boardman Ave
Milwaukie, OR 97267-5930
Phone
(503) 353-9776
NPI assigned
Nov 4, 2021
Sex
Female
Sole proprietor
No

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.

Medicare Care Compare profile

Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Lake Physical Therapy and Rehab LP (39 clinicians)

Practice addresses (Care Compare)

101 S State St
Suite 4200
Lake Oswego, OR 97034-3977
Phone (503) 636-3028

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OR

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20211110002428 OR Practitioner - Physical Therapist in Private Practice 0749679819 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
64282CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
North Lake Physical Therapy and Rehab LP Physical Therapist Current
since Nov 3, 2021
Accepting new patients

Locations

101 S State St
Ste 4200
Lake Oswego, OR 97034
Phone (503) 636-3025

4606 SE Boardman Ave
Portland, OR 97267
Phone (503) 353-9776

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 64282 CT Yes

Addresses

Primary practice location

4606 SE Boardman Ave
Milwaukie, OR 97267-5930

Mailing address

19737 Bellevue Way
West Linn, OR 97068-2267

Other providers in Milwaukie, OR

All providers in Milwaukie, OR · Physical Therapist in Oregon

Sources for this page

Verify at the official NPI Registry.