NPIMap

Organization Active NPI

Pace Pediatric Therapy, Inc.

  • Pediatric Physical Therapist
  • Portland, OR
National Provider Identifier
1275156101
Registry record updated Sep 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
Legal business name
PACE PEDIATRIC THERAPY, INC.
Practice address
3880 SE 8TH Ave Ste 150
Portland, OR 97202-3774
Phone
(503) 308-1488
Fax
(971) 269-0499
NPI assigned
May 27, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2022

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

Authorized official

Name
Melissa Meyer, PT, DPTNPI 1598069528
Title
President
Phone
(503) 308-1488

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251P0200X Primary

Addresses

Primary practice location

3880 SE 8TH Ave Ste 150
Portland, OR 97202-3774

Mailing address

3880 SE 8TH Ave Ste 150
Portland, OR 97202-3774
Phone (503) 308-1488

National Provider Directory

National Provider Directory

Locations

3880 SE 8th Ave
Ste 150
Portland, OR 97202
Phone (503) 308-1488

4412 S Barbur Blvd
Ste 200
Portland, OR 97239
Phone (503) 308-1488

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1590537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664496000000",
    "number": "1275156101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3880 SE 8TH AVE STE 150",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972023774",
            "telephone_number": "503-308-1488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3880 SE 8TH AVE STE 150",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972023774",
            "telephone_number": "503-308-1488",
            "fax_number": "971-269-0499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACE PEDIATRIC THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-27",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-308-1488",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.