Active NPI
Linda Mary Krausse, PT
- Physical Therapist
- Gresham, OR
National Provider Identifier
1538909718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1891
- Practice address
- 17625 SE Foster Rd
Gresham, OR 97080-3326 - Phone
- (503) 762-3209
- NPI assigned
- May 28, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1891 | OR | Primary |
Addresses
Primary practice location
17625 SE Foster Rd
Gresham, OR 97080-3326
Mailing address
2807 NE Jarrett St
Portland, OR 97211-6166
Phone (503) 380-4015
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 |
|---|---|---|---|
| 1891 | OR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716854400000",
"number": "1538909718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2807 NE JARRETT ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972116166",
"telephone_number": "503-380-4015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17625 SE FOSTER RD",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970803326",
"telephone_number": "503-762-3209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAUSSE",
"first_name": "LINDA",
"middle_name": "MARY",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-28",
"last_updated": "2024-05-28",
"certification_date": "2024-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "1891",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gresham, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.