Active NPI
Joseph Pho, DPT
- Physical Therapist
- Gresham, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 64271
- Practice address
- 24076 SE Stark St Ste 200
Gresham, OR 97030-3376 - Phone
- (503) 491-1666
- NPI assigned
- Nov 4, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 64271 | OR | Primary |
Addresses
Primary practice location
24076 SE Stark St Ste 200
Gresham, OR 97030-3376
Mailing address
24076 SE Stark St Ste 200
Gresham, OR 97030-3376
Phone (503) 491-1666
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15000 SW Barrows Rd
Suite 201
Beaverton, OR 97007-8778
Phone (971) 930-4433
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapydia, Inc. | Physical Therapist | Current | Accepting new patients |
| Gresham Sportscare | Current | Accepting new patients | |
| Therapydia, Inc. | Physical Therapist | Current | Accepting new patients |
Locations
15000 SW Barrows Rd
Ste 201
Beaverton, OR 97007
Phone (971) 257-5663
24076 SE Stark St
Ste 200
Gresham, OR 97030
Phone (503) 491-1666
2808 E Burnside St
Portland, OR 97214
Phone (503) 477-4802
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.
-
- Physical Therapist
- Portland, OR
- NPI 1346672797
-
- Physical Therapy Clinic/Center
- Gresham, OR
- NPI 1487789657
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635984000000",
"number": "1265197206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24076 SE STARK ST STE 200",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970303376",
"telephone_number": "503-491-1666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24076 SE STARK ST STE 200",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970303376",
"telephone_number": "503-491-1666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHO",
"first_name": "JOSEPH",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-11-04",
"last_updated": "2021-11-04",
"certification_date": "2021-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "64271",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gresham, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; 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.