Active NPI
Lindsy R Palisca, P.T., D.P.T.
- Physical Therapist
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT60291169
- Practice address
- 10215 SW Parkway
Suite D
Portland, OR 97225-5036 - Phone
- (503) 292-3583
- Fax
- (503) 292-1022
- NPI assigned
- Sep 24, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 8682 | AZ | |
| Physical Therapist | 225100000X | 6412 | OR | |
| Physical Therapist | 225100000X | PT60291169 | WA | Primary |
Addresses
Primary practice location
10215 SW Parkway
Suite D
Portland, OR 97225-5036
Mailing address
16083 SW Upper Boones Ferry Rd
Suite 300
Tigard, OR 97224-7736
Phone (800) 219-8835
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164756060 | Medicaid | WA | |
| 500631337 | Medicaid | OR | |
| P01343769 | Other | WA | RR MEDICARE |
Other names 1
- Lindsy R Tribe
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, WA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
17700 SE Mill Plain Blvd
Suite 150
Vancouver, WA 98683-7582
Phone (360) 514-9383
318 NE 99TH St
Suite B
Vancouver, WA 98665-5902
Phone (360) 571-2195
3180 NE 3Rd Ave
Camas, WA 98607-2407
Phone (360) 335-9033
4040 NE Fremont St
Portland, OR 97212-1952
Phone (503) 493-4463
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8682 | AZ | MD | Chiropractor |
| 6412 | OR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapeutic Associates Inc | Physical Therapist | Current | Accepting new patients |
| Therapeutic Associates Inc | Physical Therapist | Current | Accepting new patients |
| Therapeutic Associates Inc | Physical Therapist | Current | Accepting new patients |
| Therapeutic Associates Inc | Physical Therapist | Past | Accepting new patients |
| Therapeutic Associates Inc | Physical Therapist | Past | Accepting new patients |
Locations
4040 NE Fremont St
Portland, OR 97212
Phone (503) 287-6199
16083 SW Upper Boones Ferry Rd
Ste 300
Tigard, OR 97224
Phone (503) 443-6153
Interoperability endpoints
- lindsy.palisca.1@31414.direct.athenahealth.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba TAI Evergreen Physical Therapy
- Physical Therapist
- Spokane Valley, WA
- NPI 1497731244
-
dba TAI Mt. Ashland Physical Therapy
- Physical Therapist
- Ashland, OR
- NPI 1972589364
-
dba TAI - Downtown Eugene Physical Therapy
- Physical Therapist
- Eugene, OR
- NPI 1801426242
-
dba Angeles Therapy Services in Sequim
- Physical Therapist
- Sequim, WA
- NPI 1992781744
-
dba TAI Cedar Hills Physical Therapy
- Physical Therapist
- Portland, OR
- NPI 1700862000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410998400000",
"number": "1164756060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16083 SW UPPER BOONES FERRY RD",
"address_2": "SUITE 300",
"city": "TIGARD",
"state": "OR",
"postal_code": "972247736",
"telephone_number": "800-219-8835",
"fax_number": "503-639-9699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10215 SW PARKWAY",
"address_2": "SUITE D",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972255036",
"telephone_number": "503-292-3583",
"fax_number": "503-292-1022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALISCA",
"first_name": "LINDSY",
"middle_name": "R",
"credential": "P.T., D.P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-24",
"last_updated": "2014-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "8682",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "6412",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT60291169",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1164756060",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500631337",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01343769",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LINDSY",
"last_name": "TRIBE",
"middle_name": "R",
"credential": "P.T., D.P.T.",
"code": "1",
"type": "Former Name"
}
]
}
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 18, 2014; 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.