Individual provider Active NPI

Maureen Lefere, MPT

  • Physical Therapist
  • Portland, OR
National Provider Identifier
1356388243
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4199 Issued in OR
Practice address
1423 SE 23Rd Ave
Portland, OR 97214-3908
Phone
(503) 236-3108
Fax
(503) 236-3239
NPI assigned
Jun 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 4199 OR Primary

Addresses

Primary practice location

1423 SE 23Rd Ave
Portland, OR 97214-3908

Mailing address

1423 SE 23Rd Ave
Portland, OR 97214-3908
Phone (503) 236-3108

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
4199ORMDPhysical Therapist
2933AZMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
High Desert Physical Therapy and Sports Rehabilitation, PLLC Physical Therapist Past Accepting new patients
H & P Goodell, Inc. PastSince Oct 1, 2005 Accepting new patients
Don Berlyn Physical Therapy PC Physical Therapist PastSince Apr 1, 2016 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1356388243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1423 SE 23RD AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972143908",
            "telephone_number": "503-236-3108",
            "fax_number": "503-236-3239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 SE 23RD AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972143908",
            "telephone_number": "503-236-3108",
            "fax_number": "503-236-3239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEFERE",
        "first_name": "MAUREEN",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-01",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "4199",
            "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 13, 2026; 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.