Kathleen Therese Scanlan, DPT

Primary specialty

Neurology Physical TherapistTaxonomy code 2251N0400X

License

61988 Issued in OR

Practice address

3303 SW Bond Ave
Portland, OR 97239-4501

Phone

(503) 494-3151

NPI assigned

Nov 14, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1321228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585785600000",
    "number": "1477830735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6715 N WILBUR AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972175252",
            "telephone_number": "708-715-2891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 SW BOND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972394501",
            "telephone_number": "503-494-3151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "345 E Superior St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606112654",
            "country_code": "US",
            "telephone_number": "312-238-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCANLAN",
        "first_name": "KATHLEEN",
        "middle_name": "THERESE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-14",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.018664",
            "primary": false
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "OR",
            "license": "61988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Andrea Pangan Scales, MD
• Diangelo Alexei Scamarone, PSS, CRM
• Susan Claire Scandale, L.AC.
• Erica Scandalios, PA-C
• Marin Scandrett
• Richard Michael Scanlan, MD
• Molly Taylor Scanlon
• Jeanette Scantling
• Carrie Michael Scaramastra, M.S.
• Jonathan E Scarboro

• Neurology Physical Therapist in Portland, OR
• Providers in Portland, OR by specialty
• Neurology Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.