Active NPI
Kindra Fish, PT
- Physical Therapist
- Lake Oswego, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 62338
- Practice address
- 4811 Meadows Rd Ste 101
Lake Oswego, OR 97035-2542 - Phone
- (360) 254-6161
- NPI assigned
- Jul 19, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
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.
-
- Orthopaedic Surgery Physician
- Portland, OR
- NPI 1730118803
OR, WA
-
- Physical Therapy Clinic/Center
- West Linn, OR
- NPI 1730324336
OR
-
- Durable Medical Equipment & Medical Supplies
- Lake Oswego, OR
- NPI 1609398239
-
- Durable Medical Equipment & Medical Supplies
- Portland, OR
- NPI 1801318381
-
- Durable Medical Equipment & Medical Supplies
- Vancouver, WA
- NPI 1023530508
-
- Durable Medical Equipment & Medical Supplies
- Vancouver, WA
- NPI 1093237612
-
- Durable Medical Equipment & Medical Supplies
- Vancouver, WA
- NPI 1306368915
-
- Durable Medical Equipment & Medical Supplies
- Vancouver, WA
- NPI 1801073762
-
- Durable Medical Equipment & Medical Supplies
- Vancouver, WA
- NPI 1801318415
-
- Durable Medical Equipment & Medical Supplies
- Vancouver, WA
- NPI 1821510306
-
- Physical Therapist
- Portland, OR
- NPI 1972698892
-
- Physical Therapy Clinic/Center
- Portland, OR
- NPI 1134299951
Physical Therapist
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northwest Surgical Specialists PC
Practice addresses (Care Compare)
200 NE Mother Joseph PL
110 Rebound Orthopedics
Vancouver, WA 98664-3293
Phone (360) 254-6161
4811 Meadows Rd
Suite 101
Lake Oswego, OR 97035-2542
Phone (503) 635-2323
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, WA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170830001751 | OR | Practitioner - Physical Therapist in Private Practice | 2466725205 | Reassigns benefits to 2 organizations |
| I20250305001282 | WA | Practitioner - Physical Therapist in Private Practice | 2466725205 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62338 | OR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Surgical Specialists, P.C. | Current | Accepting new patients | |
| Northwest Surgical Specialists PC | Current | Accepting new patients | |
| Active Edge Physical Therapy & Sports Medicine P.C. | Current | Accepting new patients | |
| J and D Physical Therapy Services | Physical Therapist | Past | Accepting new patients |
| Gateway Sports Medicine & Rehabilitation PC | Physical Therapist | Past | Accepting new patients |
Locations
4811 Meadows Rd
Ste 101
Lake Oswego, OR 97035
Phone (503) 635-2323
1 N Center Court St
Ste 11
Portland, OR 97227
Phone (503) 732-6863
2020 8th Ave
Ste D
West Linn, OR 97068
Phone (503) 387-5449
200 NE Mother Joseph Pl
Ste 110
Vancouver, WA 98664
Phone (360) 256-8584
2121 NE 139th St
Ste 325
Vancouver, WA 98686
Phone (360) 449-8700
200 NE Mother Joseph Pl
Ste 210
Vancouver, WA 98664
Phone (360) 449-1145
200 NE Mother Joseph Pl
Vancouver, WA 98664
Phone (360) 514-2990
Interoperability endpoints
- kindra.fishdpt.p1@direct.reboundmd.nextgenshare.com
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 62338 | OR | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
4811 Meadows Rd Ste 101
Lake Oswego, OR 97035-2542
Mailing address
200 NE Mother Joseph PL Ste 210
Vancouver, WA 98664-3295
Phone (360) 254-6161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 12, 2023.
{
"created_epoch": "1500422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673481600000",
"number": "1497278626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 NE MOTHER JOSEPH PL STE 210",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986643295",
"telephone_number": "360-254-6161",
"fax_number": "360-449-1146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4811 MEADOWS RD STE 101",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970352542",
"telephone_number": "360-254-6161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISH",
"first_name": "KINDRA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-19",
"last_updated": "2023-01-12",
"certification_date": "2023-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "62338",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Oswego, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; 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.