Individual provider Active NPI

Elizabeth Grove, DPT

  • Physical Therapist
  • Beaverton, OR
National Provider Identifier
1164112769
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
16985 NW Cornell Rd Ste 110
Beaverton, OR 97006-5639
Phone
(503) 601-9000
NPI assigned
May 9, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2023

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 Primary

Addresses

Primary practice location

16985 NW Cornell Rd Ste 110
Beaverton, OR 97006-5639

Mailing address

1221 NE 51St Ave Apt 318
Hillsboro, OR 97124-6023

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230628001468 OR Practitioner - Physical Therapist in Private Practice 2668830332 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Benchmark Physical Therapy of Oregon LLCGroup PAC ID 0143510602, 124 clinicians

Practice addresses (Care Compare)

10065 SW Nimbus Ave
Beaverton, OR 97008-7177
Phone (503) 992-6750

3512 Excel Dr
Suite 105
Medford, OR 97504-9850
Phone (541) 245-0419

440 1St St
Lake Oswego, OR 97034-3123
Phone (503) 744-4826

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Benchmark Physical Therapy of Oregon LLC Physical Therapist Current Accepting new patients
Benchmark Physical Therapy of Or, LLC Physical Therapist CurrentSince May 8, 2023 Accepting new patients
Benchmark Physical Therapy of Or, LLC Physical Therapist CurrentSince May 8, 2023 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

16985 NW Cornell Rd
Ste 110
Beaverton, OR 97006
Phone (503) 601-9000

440 1st St
Lake Oswego, OR 97034
Phone (503) 744-4826

3512 Excel Dr
Ste 105
Medford, OR 97504
Phone (541) 245-0419

Organizations & group practices 3

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": "1683590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1164112769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 NE 51ST AVE APT 318",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971246023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16985 NW CORNELL RD STE 110",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970065639",
            "telephone_number": "503-601-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROVE",
        "first_name": "ELIZABETH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-09",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; 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.