Individual provider Active NPI

Michelle Elaine Gilpin, DPT

  • Physical Therapist
  • Portland, OR
National Provider Identifier
1265717201
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6645 Issued in OR
Practice address
1940 NW 24TH Ave
Portland, OR 97210-2786
Phone
(503) 866-5232
NPI assigned
Oct 20, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 6645 OR Primary
Physical Therapist 225100000X PT60255809 WA

Addresses

Primary practice location

1940 NW 24TH Ave
Portland, OR 97210-2786

Mailing address

806 NE Laurelhurst PL
Portland, OR 97232-2655
Phone (503) 866-5232

Other identifiers 2

IdentifierTypeStateIssuer
500639302MedicaidOR
1265717201MedicaidWA

Other names 1

  • Michelle Elaine Gilpin Michalowski Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120323000403 OR Practitioner - Physical Therapist in Private Practice 8426218736 Reassigns benefits to 1 organization
Practice locations: Portland, OR

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mbody Health LLCGroup PAC ID 7517307275, 6 clinicians

Practice addresses (Care Compare)

1940 NW 24TH Ave
Portland, OR 97210-2786
Phone (503) 303-8118

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6645ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mbody Health, LLC Physical Therapist CurrentSince Apr 1, 2024 Accepting new patients
Therapeutic Associates Inc Physical Therapist Past Accepting new patients
Therapeutic Associates Inc Physical Therapist Past Accepting new patients
Dimond Physical Therapy and Performance Lab, LLC Physical Therapist PastSince Jun 15, 2015 Accepting new patients
Erhardt Physical Therapy and Sports Medicine, LLC Physical Therapist PastSince Jun 29, 2016 Accepting new patients

Locations

1940 NW 24th Ave
Portland, OR 97210
Phone (503) 242-9136

Interoperability endpoints

  • Direct secure messaging: michelle.gilpin.1@29972.direct.athenahealth.com

Organizations & group practices 5

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": "1319068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1265717201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 NE LAURELHURST PL",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972322655",
            "telephone_number": "503-866-5232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 NW 24TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972102786",
            "telephone_number": "503-866-5232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILPIN",
        "first_name": "MICHELLE",
        "middle_name": "ELAINE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-20",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "6645",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60255809",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500639302",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1265717201",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "GILPIN MICHALOWSKI",
            "middle_name": "ELAINE",
            "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 Nov 15, 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.