Active NPI
Alix Sklarew
- Orthopedic Physical Therapist
- Portland, OR
National Provider Identifier
1447765433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 63105
- Practice address
- 825 NE 20TH Ave Ste 140
Portland, OR 97232-2275 - Phone
- (774) 208-3779
- NPI assigned
- Dec 12, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | 294049 | CA | |
| Orthopedic Physical Therapist | 2251X0800X | 63105 | OR | Primary |
Addresses
Primary practice location
825 NE 20TH Ave Ste 140
Portland, OR 97232-2275
Mailing address
2051 N Rosa Parks Way
Portland, OR 97217-4939
Phone (774) 208-3779
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
| License | State | Type | Specialty |
|---|---|---|---|
| 63105 | OR | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centered Health Physical Therapy and Pilates LLC | Current | Accepting new patients |
Locations
825 NE 20th Ave
Ste 140
Portland, OR 97232
Phone (503) 461-9664
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.
-
- Physical Therapy Clinic/Center
- Portland, OR
- NPI 1437910833
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705536000000",
"number": "1447765433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2051 N ROSA PARKS WAY",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972174939",
"telephone_number": "774-208-3779",
"fax_number": "774-208-3779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 NE 20TH AVE STE 140",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972322275",
"telephone_number": "774-208-3779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKLAREW",
"first_name": "ALIX",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-12-12",
"last_updated": "2024-01-18",
"certification_date": "2024-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "294049",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "OR",
"license": "63105",
"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 Jan 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.