Active NPI
Sarah Jane Pattison, PT
- Physical Therapist
- Portland, OR
National Provider Identifier
1336341858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4813
- Practice address
- 10101 SE SE Main
Portland, OR 97216 - Phone
- (503) 251-6100
- Fax
- (503) 251-6843
- NPI assigned
- Jun 5, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 4813 | OR | Primary |
Addresses
Primary practice location
10101 SE SE Main
Portland, OR 97216
Mailing address
20490 SW Imperial LN
Beaverton, OR 97006-1884
Phone (503) 809-1130
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4813 | OR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336341858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20490 SW IMPERIAL LN",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970061884",
"telephone_number": "503-809-1130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10101 SE SE MAIN",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97216",
"telephone_number": "503-251-6100",
"fax_number": "503-251-6843"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTISON",
"first_name": "SARAH",
"middle_name": "JANE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "4813",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.