Active NPI
Martha L Fiala, PT
- Specialist
- Hillsboro, OR
National Provider Identifier
1487630042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 0280
- Practice address
- 403 SW Dennis Ave
Hillsboro, OR 97123-3928 - Phone
- (503) 640-3803
- NPI assigned
- Dec 15, 2005
- Last updated
- Sep 25, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 0280 | OR | Primary |
Addresses
Primary practice location
403 SW Dennis Ave
Hillsboro, OR 97123-3928
Mailing address
12525 SW Tooze Rd
Sherwood, OR 97140-8442
Phone (503) 319-8848
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 838351001 | Other | OR | BLUE CROSS BLUE SHEILD |
| 015128 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0280 | OR | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gentle Steps Children's Therapy Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Hillsboro, OR
- NPI 1356410054
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443139200000",
"number": "1487630042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12525 SW TOOZE RD",
"city": "SHERWOOD",
"state": "OR",
"postal_code": "971408442",
"telephone_number": "503-319-8848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 SW DENNIS AVE",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971233928",
"telephone_number": "503-640-3803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIALA",
"first_name": "MARTHA",
"middle_name": "L",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-15",
"last_updated": "2015-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OR",
"license": "0280",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHEILD",
"identifier": "838351001",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "015128",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hillsboro, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.