Active NPI
Mikaela Genskay, DPT
- Physical Therapist
- Beaverton, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 64964
- Practice address
- 11200 SW Murray Scholls PL Ste 100
Beaverton, OR 97007-9816 - Phone
- (503) 494-3151
- NPI assigned
- Oct 9, 2023
- 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 | |||
| Physical Therapist | 225100000X | 64964 | OR | Primary |
Addresses
Primary practice location
11200 SW Murray Scholls PL Ste 100
Beaverton, OR 97007-9816
Mailing address
11200 SW Murray Scholls PL Ste 100
Beaverton, OR 97007-9816
Phone (503) 494-3151
Other practice location 1
270 NW Burnside Rd
Gresham, OR 97030-3836
Phone (503) 215-9146
Other names 1
- Mikaela Bernards
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11200 SW Murray Scholls PL
Suite 100
Beaverton, OR 97007-9816
Phone (503) 494-3151
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64964 | OR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohsu Outpatient Clinical Services LLC | Current | Accepting new patients | |
| Ohsu Outpatient Clinical Services LLC | Current | Accepting new patients |
Locations
11200 SW Murray Scholls Pl
Ste 100
Beaverton, OR 97007
Phone (503) 494-3151
Organizations & group practices 2
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
- Beaverton, OR
- NPI 1336824440
-
- Physiological Laboratory
- Portland, OR
- NPI 1194568469
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750291200000",
"number": "1417738121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11200 SW MURRAY SCHOLLS PL STE 100",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970079816",
"telephone_number": "503-494-3151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11200 SW MURRAY SCHOLLS PL STE 100",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970079816",
"telephone_number": "503-494-3151"
}
],
"practiceLocations": [
{
"address_1": "270 NW Burnside Rd",
"address_purpose": "LOCATION",
"city": "Gresham",
"state": "OR",
"postal_code": "970303836",
"country_code": "US",
"telephone_number": "503-215-9146",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GENSKAY",
"first_name": "MIKAELA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-09",
"last_updated": "2025-06-19",
"certification_date": "2025-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "64964",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MIKAELA",
"last_name": "BERNARDS",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2025; 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.