Individual provider Active NPI

Katherine Anna Grandle, DPT

  • Physical Therapist
  • Molalla, OR
National Provider Identifier
1386584092
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
65946 Issued in OR
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

Updated by the provider on Mar 31, 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 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 IDStateProvider typePAC IDDetails
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. 6 clinicians

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

LicenseStateTypeSpecialty
65946ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Clackamas Physical Therapy Associates, Inc. CurrentSince Apr 20, 2026 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.

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.

Verify at the official NPI Registry.