Active NPI
Cressa Elizabeth Schuster, DPT
- Pediatric Physical Therapist
- Portland, OR
National Provider Identifier
1366998254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 05455
- Practice address
- 830 NE 47TH Ave
Portland, OR 97213-2212 - Phone
- (503) 216-8545
- Fax
- (503) 215-2478
- NPI assigned
- Aug 30, 2016
- Last updated
- Aug 30, 2016
- 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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 05455 | OR | Primary |
Addresses
Primary practice location
830 NE 47TH Ave
Portland, OR 97213-2212
Mailing address
830 NE 47TH Ave
Portland, OR 97213-2212
Phone (503) 216-8545
Other names 1
- Miss Cressa Elizabeth Deshler
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Current | Accepting new patients |
Locations
10330 SE 32nd Ave
Ste 226
Milwaukie, OR 97222
Phone (503) 513-8020
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Providence Medical Group
- General Practice Physician
- Lake Oswego, OR
- NPI 1023488343
-
dba Providence Medical Group
- Family Medicine Physician
- Portland, OR
- NPI 1679678866
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472515200000",
"number": "1366998254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "830 NE 47TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972132212",
"telephone_number": "503-216-8545",
"fax_number": "503-215-2478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 NE 47TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972132212",
"telephone_number": "503-216-8545",
"fax_number": "503-215-2478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHUSTER",
"first_name": "CRESSA",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-30",
"last_updated": "2016-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "OR",
"license": "05455",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CRESSA",
"last_name": "DESHLER",
"middle_name": "ELIZABETH",
"prefix": "MISS",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}
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 Aug 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.