Individual provider Active NPI

Mariah Frank

  • Physical Therapist
  • Portland, OR
National Provider Identifier
1487213385
Registry record updated Jun 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
63274 Issued in OR
Practice address
4876 NW Bethany Blvd Ste L1
Portland, OR 97229-9259
Phone
(503) 466-2254
Fax
(503) 466-1143
NPI assigned
Jun 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2019

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 63274 OR Primary

Addresses

Primary practice location

4876 NW Bethany Blvd Ste L1
Portland, OR 97229-9259

Mailing address

16083 SW Upper Boones Ferry Rd Ste 300
Tigard, OR 97224-7736
Phone (503) 443-6156

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190919000293 OR Practitioner - Physical Therapist in Private Practice 7012247927 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mbody Health LLCGroup PAC ID 7517307275, 6 clinicians
Sound Body LLCGroup PAC ID 5890009443, 4 clinicians

Practice addresses (Care Compare)

1940 NW 24TH Ave
Portland, OR 97210-2786
Phone (503) 303-8118

2240 N Interstate Ave
Suite 280
Portland, OR 97227-1773
Phone (971) 279-4268

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
63274ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutic Associates Inc Physical Therapist Current Accepting new patients
Therapeutic Associates Inc Physical Therapist CurrentSince Jul 20, 2019 Accepting new patients
Katie Lyttle Physical Therapist PC Physical Therapist CurrentSince Aug 9, 2022 Accepting new patients
Therapeutic Associates, Inc Physical Therapist CurrentSince Jul 20, 2019 Accepting new patients
Mbody Health, LLC Physical Therapist CurrentSince Oct 6, 2025 Accepting new patients
Therapeutic Associates Inc Physical Therapist Past Accepting new patients
Therapeutic Associates Inc Physical Therapist Past Accepting new patients

Locations

16315 SW Barrows Rd
Ste 205
Beaverton, OR 97007
Phone (503) 521-0500

996 NW Circle Blvd
Ste 101
Corvallis, OR 97330
Phone (541) 757-0878

5955 Shoreview Ln N
Ste 100
Keizer, OR 97303
Phone (503) 463-4221

2240 N Interstate Ave
Ste 280
Portland, OR 97227
Phone (971) 279-4268

8028 NE Glisan St
Ste B
Portland, OR 97213
Phone (503) 253-0924

1940 NW 24th Ave
Portland, OR 97210
Phone (503) 242-9136

4876 NW Bethany Blvd
Ste L1
Portland, OR 97229
Phone (503) 466-2254

10215 SW Parkway
Ste D
Portland, OR 97225
Phone (503) 292-3583

58147 Columbia River Hwy
Ste A
Saint Helens, OR 97051
Phone (503) 397-1914

20055 SW Pacific Hwy
Ste 110
Sherwood, OR 97140
Phone (503) 625-1691

16083 SW Upper Boones Ferry Rd
Ste 300
Tigard, OR 97224
Phone (503) 443-6153

29100 SW Town Center Loop W
Ste 190
Wilsonville, OR 97070
Phone (503) 570-7600

Interoperability endpoints

  • Direct secure messaging: mariah.frank.1@29972.direct.athenahealth.com

Organizations & group practices 8

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": "1560384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560384000000",
    "number": "1487213385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16083 SW UPPER BOONES FERRY RD STE 300",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972247736",
            "telephone_number": "503-443-6156",
            "fax_number": "503-639-9699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4876 NW BETHANY BLVD STE L1",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972299259",
            "telephone_number": "503-466-2254",
            "fax_number": "503-466-1143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANK",
        "first_name": "MARIAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-13",
        "last_updated": "2019-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "63274",
            "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 Jun 13, 2019; 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.