Maile Elizabeth Altier, PT, DPT
Individual provider Active NPI Physical Therapist · Portland, OR
NPI 1194496786 · NPPES record last updated Sep 23, 2021
Key facts
- NPI
- 1194496786
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 64088 (OR)
- Practice address
- 3303 S Bond Ave
Portland, OR 97239-4501 - Phone
- (503) 494-3151
- NPI assigned
- Sep 23, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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
- Ohsu Outpatient Clinical Services LLC
Practice addresses (Care Compare)
11200 SW Murray Scholls PL
Suite 100
Beaverton, OR 97007-9816
Phone (503) 494-3151
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231102001803 | OR | Practitioner - Physical Therapist in Private Practice | 8325494990 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64088 | OR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohsu Outpatient Clinical Services LLC | Current |
Accepting new patients | |
| Ohsu Outpatient Clinical Services LLC | Current |
Accepting new patients |
Locations
11200 SW Murray Scholls Pl
Ste 100
Beaverton, OR 97007
Phone (503) 494-3151
3303 S Bond Ave
Portland, OR 97239
Phone (503) 494-3151
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 64088 | OR | Yes |
Addresses
Primary practice location
3303 S Bond Ave
Portland, OR 97239-4501
Mailing address
11700 SW Butner Rd Apt 324
Portland, OR 97225-5782
Phone (808) 264-3878
Other providers in Portland, OR
- Alternative Health Care & Chiropractic Inc.
- Alternative Medical Choices
- Jules Richard Altfas
- Ashley Kaylyn Althaus
- Althena Integrative Medicine Inc
- Holly June Altiero
- Marcus Tyler Altman
- Katie Alton
- Rene Alton
- Altoris Behavior Support LLC
All providers in Portland, OR · Physical Therapist in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.