Individual provider Active NPI

Zhuoyuan Qian, DPT

  • Physical Therapist
  • King City, OR
National Provider Identifier
1477956944
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
62878 Issued in OR
Practice address
11735 SW Queen Elizabeth St Ste 103
King City, OR 97224-2665
Phone
(503) 941-5666
NPI assigned
Sep 29, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT3885 AR
Physical Therapist 225100000X 62878 OR Primary

Addresses

Primary practice location

11735 SW Queen Elizabeth St Ste 103
King City, OR 97224-2665

Mailing address

12255 SW Silvertip St
Beaverton, OR 97007-3015
Phone (917) 396-8742

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181009001392 OR Practitioner - Physical Therapist in Private Practice 3678897980 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11735 SW Queen Elizabeth St
Suite 103
King City, OR 97224-2665
Phone (503) 941-5666

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT3885ARMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
One Physical Therapy LLC Physical Therapist CurrentSince Aug 1, 2021 Accepting new patients
Oregon Luna Care Physical Therapy LLC Physical Therapist CurrentSince Oct 5, 2021 Accepting new patients

Locations

9620 NE Tanasbourne Dr
Ste 300
Hillsboro, OR 97124
Phone (833) 756-8643

11735 SW Queen Elizabeth St
Ste 103
King City, OR 97224
Phone (503) 941-5666

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.

NPI Registry JSON

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

{
    "created_epoch": "1411948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1477956944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12255 SW SILVERTIP ST",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970073015",
            "telephone_number": "917-396-8742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11735 SW QUEEN ELIZABETH ST STE 103",
            "city": "KING CITY",
            "state": "OR",
            "postal_code": "972242665",
            "telephone_number": "503-941-5666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QIAN",
        "first_name": "ZHUOYUAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-29",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT3885",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "62878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in King City, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; 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.

Verify at the official NPI Registry.