Kotila Physical Therapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2802 Issued in OR

Legal business name

KOTILA PHYSICAL THERAPY, LLC

Practice address

527 SE 9TH Ave
Hillsboro, OR 97123-4605

Phone

(503) 681-2340

Fax

(503) 693-7000

NPI assigned

Apr 2, 2007

Organization subpart

No

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

Authorized official

Name

Pamela Mary Kotila, MS,PTNPI 1427039981

Title

Owner

Phone

(503) 681-2340

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pamela M Kotila, MS,PT

  • Orthopedic Physical Therapist
  • Hillsboro, OR
  • NPI 1427039981
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467573121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 SE 9TH AVE",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234605",
            "telephone_number": "503-681-2340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 SE 9TH AVE",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234605",
            "telephone_number": "503-681-2340",
            "fax_number": "503-693-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOTILA PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOTILA",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-681-2340",
        "authorized_official_credential": "MS,PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "2802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Allen Koosman, DC
• Terance George Kordash, MD
• Carmen Kosicek, PMHNP-BC
• Mary Megan Wilkinson Koski-Vogt, CNM
• Oleksandra Kostiuk
• Pamela M Kotila, MS,PT
• Katerina Kourt, CCC-SLP
• Karolina Kovalev, B.A.
• Inna Kovtun
• Christina Mae Kowalchuk

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.