Individual provider Active NPI

Ruth Will, DPT

  • Physical Therapist
  • Portland, OR
National Provider Identifier
1396142543
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
62454 Issued in OR
Practice address
7412 SW Beaverton Hillsdale Hwy Ste 110
Portland, OR 97225-2167
Phone
(503) 616-0313
NPI assigned
Dec 2, 2014
Last updated
Sep 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305208567 VA
Physical Therapist 225100000X
Physical Therapist 225100000X 62454 OR Primary

Addresses

Primary practice location

7412 SW Beaverton Hillsdale Hwy Ste 110
Portland, OR 97225-2167

Mailing address

7412 SW Beaverton Hillsdale Hwy Ste 110
Portland, OR 97225-2167
Phone (503) 616-0313

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

State licenses

LicenseStateTypeSpecialty
62454ORMDPhysical Therapist
2305208567VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ipa Physio Portland LLC Physical Therapist CurrentSince Sep 17, 2023 Accepting new patients

Locations

7412 SW Beaverton Hillsdale Hwy
Ste 110
Portland, OR 97225
Phone (503) 616-0313

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1417478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1396142543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7412 SW BEAVERTON HILLSDALE HWY STE 110",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972252167",
            "telephone_number": "503-616-0313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7412 SW BEAVERTON HILLSDALE HWY STE 110",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972252167",
            "telephone_number": "503-616-0313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILL",
        "first_name": "RUTH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-02",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305208567",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "62454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.