Individual provider Active NPI

Chase Katich, P.T.

  • Physical Therapist
  • Tigard, OR
National Provider Identifier
1477637072
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4368 Issued in OR
Practice address
18122 SW Lower Boones Ferry Rd
Tigard, OR 97224-7216
Phone
(503) 639-2118
Fax
(503) 639-7688
NPI assigned
Oct 24, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 4368 OR Primary

Addresses

Primary practice location

18122 SW Lower Boones Ferry Rd
Tigard, OR 97224-7216

Mailing address

18122 SW Lower Boones Ferry Rd
Tigard, OR 97224-7216
Phone (503) 639-2118

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040525001043 OR Practitioner - Physical Therapist in Private Practice 8426039652 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kaiser Foundation Health Plan of the Northwest Current Accepting new patients
Beaverton Rehab & Specialty Care, LLC CurrentSince Mar 23, 2024 Accepting new patients
Walton Physical Therapy & Sports Medicine Inc Physical Therapist CurrentSince Apr 12, 2004 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Mar 23, 2024 Accepting new patients
Mountain Valley Therapy, Inc Physical Therapist PastSince Jan 4, 1999 Accepting new patients
Gateway Sports Medicine & Rehabilitation PC Physical Therapist PastSince Sep 23, 2018 Accepting new patients

Locations

10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946

10315 NE Tanasbourne Dr
Hillsboro, OR 97124
Phone (503) 495-8501

17400 SW Upper Boones Ferry Rd
Ste 280
Portland, OR 97224
Phone (503) 455-8663

500 NE Multnomah St
Fl 11
Portland, OR 97232

2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400

18122 SW Lower Boones Ferry Rd
Tigard, OR 97224
Phone (503) 639-2118

Organizations & group practices 6

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": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477637072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18122 SW LOWER BOONES FERRY RD",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972247216",
            "telephone_number": "503-639-2118",
            "fax_number": "503-639-7688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18122 SW LOWER BOONES FERRY RD",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972247216",
            "telephone_number": "503-639-2118",
            "fax_number": "503-639-7688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATICH",
        "first_name": "CHASE",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "4368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tigard, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.