Colleen Dorothy Kimoff, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3820 Issued in OR

Practice address

9500 SE 82ND Ave Ste B
Portland, OR 97086-3746

Phone

(971) 323-6234

Fax

(503) 386-8214

NPI assigned

Mar 9, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

85.22 of 100Reported as group

Quality

87.65

Improvement activities

40

Cost

73.37

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Erhardt Physical Therapy and Sports Medicine, LLC

  dba ATI Physical Therapy

  • Physical Therapist
  • Scappoose, OR
  • NPI 1326110313
  NPD
• North Lake Physical Therapy and Rehab LP

  • Physical Therapist
  • Lake Oswego, OR
  • NPI 1316383201
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671580800000",
    "number": "1386612885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 SE 82ND AVE STE B",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "970863746",
            "telephone_number": "971-323-6234",
            "fax_number": "503-386-8214"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 S State St",
            "address_2": "Suite 200G",
            "address_purpose": "LOCATION",
            "city": "Lake Oswego",
            "state": "OR",
            "postal_code": "970343900",
            "country_code": "US",
            "telephone_number": "503-636-3028",
            "fax_number": "503-636-1837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIMOFF",
        "first_name": "COLLEEN",
        "middle_name": "DOROTHY",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "3820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "232005",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Martin Mbuthia Kimita
• Olivia Louise Kimmel
• Avery Kimmell
• Shirley J Kimmell, M.S., LPC
• Carmal Kimmer
• Chelsea Ann Kimura
• Keri Ann Kinabo, MS
• Kinaesthetics, Inc.
• William Patrick Kinane, DO
• Robert Kinast, MD

• Physical Therapist in Portland, OR
• Providers in Portland, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.