Melissa Gaerisch, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

T 6632 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

Aug 3, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2011

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)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ellen Nona Hoyven, P.T. P.C.

  • Physical Therapist
  • Tualatin, OR
  • NPI 1073547923
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1312329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1255619573",
    "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": "GAERISCH",
        "first_name": "MELISSA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-03",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "T 6632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fresenius Medical Care West Portland Dialysis Services, LLC
• Justin Friend, LMT
• Xinyu Steve Fu, M.D.
• Jeffrey D Fullman, MD
• Raelin Fullmer I
• Yessica Paulina Galeana
• Matthew S Galindo, ABA
• Jennifer S Gallardo, CPM
• Robert Luis Gallardo, (RT) R
• Amanda M. Gallegos, D.M.D.

• Physical Therapist in Tualatin, OR
• Providers in Tualatin, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.