Active NPI
Elise Foster
- Physical Therapist
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 63874
- Practice address
- 4040 NE Fremont St
Portland, OR 97212-1952 - Phone
- (503) 493-4463
- NPI assigned
- Nov 6, 2020
- 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 | 63874 | OR | Primary |
Addresses
Primary practice location
4040 NE Fremont St
Portland, OR 97212-1952
Mailing address
18450 NE Ribbon Ridge Rd
Newberg, OR 97132-6566
Phone (503) 476-2511
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 63874 | Other | OR | STATE OF OREGON BOARD OF PHYSICAL THERAPY |
| 299256 | Other | CA | PHYSICAL THERAPY BOARD OF CALIFORNIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4040 NE Fremont St
Portland, OR 97212-1952
Phone (503) 493-4463
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63874 | OR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapeutic Associates Inc | Physical Therapist | Current | Accepting new patients |
| Therapeutic Associates Inc | Physical Therapist | Current | Accepting new patients |
| Therapeutic Associates Inc | Physical Therapist | Current | Accepting new patients |
| Therapeutic Associates Inc | Physical Therapist | Past | Accepting new patients |
Locations
16315 SW Barrows Rd
Ste 205
Beaverton, OR 97007
Phone (503) 521-0500
996 NW Circle Blvd
Ste 101
Corvallis, OR 97330
Phone (541) 757-0878
2911 Tennyson Ave
Ste 204
Eugene, OR 97408
Phone (541) 515-6194
702 SW Ramsey Ave
Ste 220
Grants Pass, OR 97527
Phone (541) 479-0765
5955 Shoreview Ln N
Ste 100
Keizer, OR 97303
Phone (503) 463-4221
4040 NE Fremont St
Portland, OR 97212
Phone (503) 287-6199
8028 NE Glisan St
Ste B
Portland, OR 97213
Phone (503) 253-0924
10215 SW Parkway
Ste D
Portland, OR 97225
Phone (503) 292-3583
4829 NE Mlk Jr Blvd
Ste 101
Portland, OR 97211
Phone (503) 283-8133
2040 NW Newcastle St
Roseburg, OR 97471
Phone (541) 673-1808
58147 Columbia River Hwy
Ste A
Saint Helens, OR 97051
Phone (503) 397-1914
20055 SW Pacific Hwy
Ste 110
Sherwood, OR 97140
Phone (503) 625-1691
16083 SW Upper Boones Ferry Rd
Ste 300
Tigard, OR 97224
Phone (503) 443-6153
29100 SW Town Center Loop W
Ste 190
Wilsonville, OR 97070
Phone (503) 570-7600
Interoperability endpoints
- elise.foster.1@31414.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Physical Therapist
- Ashland, OR
- NPI 1972589364
-
- Physical Therapist
- Portland, OR
- NPI 1144042649
-
- Physical Therapist
- Springfield, OR
- NPI 1851377618
-
- Physical Therapist
- Portland, OR
- NPI 1700862000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604620800000",
"number": "1366043101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18450 NE RIBBON RIDGE RD",
"city": "NEWBERG",
"state": "OR",
"postal_code": "971326566",
"telephone_number": "503-476-2511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4040 NE FREMONT ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972121952",
"telephone_number": "503-493-4463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOSTER",
"first_name": "ELISE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-06",
"last_updated": "2020-11-06",
"certification_date": "2020-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "63874",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF OREGON BOARD OF PHYSICAL THERAPY",
"identifier": "63874",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPY BOARD OF CALIFORNIA",
"identifier": "299256",
"state": "CA"
}
],
"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 Nov 6, 2020; 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.