Individual provider Active NPI

Michelle Lynn Polas, DPT

  • Physical Therapist
  • Tualatin, OR
National Provider Identifier
1154676963
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6847 Issued in OR
Practice address
8100 SW Nyberg St Ste 130
Tualatin, OR 97062-8375
Phone
(503) 885-8677
Fax
(503) 885-0676
NPI assigned
Jul 18, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2022

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 6847 OR Primary

Addresses

Primary practice location

8100 SW Nyberg St Ste 130
Tualatin, OR 97062-8375

Mailing address

8100 SW Nyberg St Ste 130
Tualatin, OR 97062-8375
Phone (503) 885-8677

Other names 1

  • Michelle Lynn Oakland Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130104000064 OR Practitioner - Physical Therapist in Private Practice 5890948632 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ellen Nona Hoyven PT PCGroup PAC ID 2668461807, 8 clinicians

Practice addresses (Care Compare)

8100 SW Nyberg St
Suite 130
Tualatin, OR 97062-8375
Phone (503) 885-8677

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ellen Nona Hoyven, P.T. P.C. Physical Therapist CurrentSince Jul 10, 2012 Accepting new patients

Locations

7421 SW Bridgeport Rd
Ste 215
Tigard, OR 97224
Phone (503) 620-2400

8100 SW Nyberg St
Ste 130
Tualatin, OR 97062
Phone (503) 620-2400

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.

NPI Registry JSON

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1154676963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 SW NYBERG ST STE 130",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970628375",
            "telephone_number": "503-885-8677",
            "fax_number": "503-885-0676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 SW NYBERG ST STE 130",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970628375",
            "telephone_number": "503-885-8677",
            "fax_number": "503-885-0676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLAS",
        "first_name": "MICHELLE",
        "middle_name": "LYNN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-18",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "6847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "OAKLAND",
            "middle_name": "LYNN",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tualatin, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; 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.