Active NPI
Karissa Marie Pelson, D.P.T.
- Physical Therapist
- Grants Pass, OR
National Provider Identifier
1376511626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4444
- Practice address
- 2673 Trinity Way
Grants Pass, OR 97527-6720 - Phone
- (541) 476-1697
- NPI assigned
- Mar 11, 2006
- 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 | 4444 | OR | Primary |
Addresses
Primary practice location
2673 Trinity Way
Grants Pass, OR 97527-6720
Mailing address
2673 Trinity Way
Grants Pass, OR 97527-6720
Phone (541) 476-1697
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4444 | Other | OR | LICENSE |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1376511626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2673 TRINITY WAY",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "975276720",
"telephone_number": "541-476-1697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2673 TRINITY WAY",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "975276720",
"telephone_number": "541-476-1697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PELSON",
"first_name": "KARISSA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "D.P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-11",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "4444",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "4444",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Grants Pass, 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.