Karen E Bartling, PT
Individual provider Active NPI Physical Therapist · Gresham, OR
NPI 1265840466 · NPPES record last updated Aug 8, 2018
Key facts
- NPI
- 1265840466
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 60631 (OR)
- Practice address
- 25500 SE Stark St
Suite 103
Gresham, OR 97030 - Phone
- (503) 328-0222
- Fax
- (503) 328-0223
- NPI assigned
- Jul 31, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60631 | OR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Proactive LLC | Physical Therapist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Physical Therapist | 225100000X | 60631 | OR | Yes |
Addresses
Primary practice location
25500 SE Stark St
Suite 103
Gresham, OR 97030
Mailing address
18650 NW Cornell Rd Ste 314
Hillsboro, OR 97124-9212
Phone (503) 216-9760
Other practice location 1
25500 SE Stark St
Suite 103
Gresham, OR 97030-3331
Phone (503) 328-0222
Other providers in Gresham, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.