Active NPI
Katherine Anna Grandle, DPT
- Physical Therapist
- Molalla, OR
National Provider Identifier
1386584092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 65946
- Practice address
- 270 N Molalla Ave
Molalla, OR 97038-8885 - Phone
- (503) 698-5500
- Fax
- (503) 698-5501
- NPI assigned
- Mar 31, 2026
- 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 | 65946 | OR | Primary |
Addresses
Primary practice location
270 N Molalla Ave
Molalla, OR 97038-8885
Mailing address
13623 S Mulino Rd
Mulino, OR 97042-9601
Phone (503) 698-5500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260515002466 | OR | Practitioner - Physical Therapist in Private Practice | 4587133806 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Clackamas Physical Therapy Associates, Inc.
Practice addresses (Care Compare)
11203 SE Sunnyside Rd
Clackamas, OR 97015-7787
Phone (503) 698-5500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65946 | OR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clackamas Physical Therapy Associates, Inc. | Current | Accepting new patients |
Locations
11203 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 698-5500
Organizations & group practices 1
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 Therapy Clinic/Center
- Clackamas, OR
- NPI 1548443955
OR
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1774915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774915200000",
"number": "1386584092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13623 S MULINO RD",
"city": "MULINO",
"state": "OR",
"postal_code": "970429601",
"telephone_number": "503-698-5500",
"fax_number": "503-698-5501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "270 N MOLALLA AVE",
"city": "MOLALLA",
"state": "OR",
"postal_code": "970388885",
"telephone_number": "503-698-5500",
"fax_number": "503-698-5501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANDLE",
"first_name": "KATHERINE",
"middle_name": "ANNA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-03-31",
"last_updated": "2026-03-31",
"certification_date": "2026-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "65946",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Molalla, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; 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.