Individual provider Active NPI

Valarie Angeline Takayama, MSPT

  • Geriatric Physical Therapist
  • Portland, OR
National Provider Identifier
1487847760
Registry record updated Apr 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Physical TherapistTaxonomy code 2251G0304X
License
3268 Issued in OR
Practice address
6530 SW 30TH Ave
Portland, OR 97239-1007
Phone
(503) 595-8235
NPI assigned
Aug 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical Therapist 2251G0304X 3268 OR Primary

Addresses

Primary practice location

6530 SW 30TH Ave
Portland, OR 97239-1007

Mailing address

8100 SW Nyberg St
Ste 200
Tualatin, OR 97062-8437
Phone (503) 595-8235

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220406002435 OR Practitioner - Physical Therapist in Private Practice 3870989411 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehab Specialists Outpatient LLCGroup PAC ID 6507254497, 46 clinicians
TSL Well LLCGroup PAC ID 0345776050, 11 clinicians

Practice addresses (Care Compare)

2545 SW Terwilliger Blvd
Portland, OR 97201-4990
Phone (503) 808-7974

3800 Carman Dr
Lake Oswego, OR 97035-2575
Phone (503) 636-3800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3268ORMDGeriatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab Specialists Outpatient, LLC CurrentSince Jun 1, 2025 Accepting new patients
TSL Well LLC CurrentSince Dec 1, 2024 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC CurrentSince Aug 21, 2024 Accepting new patients
Rehab Specialists Outpatient, LLC Geriatrics Current Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC CurrentSince Aug 21, 2024 Accepting new patients
Premere Rehab LLC CurrentSince Mar 23, 2022 Accepting new patients
Rehab Specialists Outpatient, LLC CurrentSince Jun 1, 2025 Accepting new patients
Premere Rehab LLC CurrentSince Mar 23, 2022 Accepting new patients

Locations

377 NW Jasper St
Dallas, OR 97338
Phone (503) 623-1777

3330 SE Three Mile Ln
McMinnville, OR 97128
Phone (971) 645-1650

822 Golf View Dr
Medford, OR 97504
Phone (541) 774-1822

4560 SE International Way
Ste 100
Portland, OR 97222
Phone (971) 206-5129

8100 SW Nyberg St
Ste 200
Tualatin, OR 97062
Phone (503) 570-3365

25117 SW Parkway Ave
Ste D
Wilsonville, OR 97070
Phone (888) 757-3422

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": "1187654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1487847760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 SW NYBERG ST",
            "address_2": "STE 200",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970628437",
            "telephone_number": "503-595-8235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6530 SW 30TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972391007",
            "telephone_number": "503-595-8235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKAYAMA",
        "first_name": "VALARIE",
        "middle_name": "ANGELINE",
        "name_prefix": "Mrs.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-21",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "OR",
            "license": "3268",
            "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 Apr 19, 2022; 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.