Active NPI
Patti Lee Henry, PT
- Orthopedic Physical Therapist
- Tualatin, OR
National Provider Identifier
1417140930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 10182
- Practice address
- 19185 SW 90TH Ave
Tualatin, OR 97062-7558 - Phone
- (800) 813-2000
- NPI assigned
- Aug 20, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3318 | OR | |
| Orthopedic Physical Therapist | 2251X0800X | 10182 | WA | Primary |
Addresses
Primary practice location
19185 SW 90TH Ave
Tualatin, OR 97062-7558
Mailing address
200 NE Mother Joseph PL Ste 210
Vancouver, WA 98664-3295
Phone (360) 254-6161
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3218 | Other | OR | OREGON PT LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, OR
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 54.33 of 100
- Quality
- 57.12
- Promoting interoperability
- 0
- Improvement activities
- 30
- Cost
- 86.48
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10182 | WA | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Foundation Health Plan of the Northwest | Current | Accepting new patients | |
| J and D Physical Therapy Services | Physical Therapist | Past | Accepting new patients |
Locations
10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946
2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400
19185 SW 90th Ave
Tualatin, OR 97062
Phone (503) 723-6699
Organizations & group practices 3
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.
-
- General Practice Physician
- Portland, OR
- NPI 1184786527
WA
-
- General Practice Physician
- Portland, OR
- NPI 1306192455
-
- Physical Therapy Clinic/Center
- Portland, OR
- NPI 1134299951
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728432000000",
"number": "1417140930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 NE MOTHER JOSEPH PL STE 210",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986643295",
"telephone_number": "360-254-6161",
"fax_number": "360-449-1146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19185 SW 90TH AVE",
"city": "TUALATIN",
"state": "OR",
"postal_code": "970627558",
"telephone_number": "800-813-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENRY",
"first_name": "PATTI",
"middle_name": "LEE",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-20",
"last_updated": "2024-10-09",
"certification_date": "2024-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "3318",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "WA",
"license": "10182",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OREGON PT LICENSE",
"identifier": "3218",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tualatin, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; 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.