Active NPI
Kirsten Londeree, PT, DPT
- Physical Therapist
- Portland, OR
National Provider Identifier
1558194357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 65479
- Practice address
- 6327 SE Milwaukie Ave
Portland, OR 97202-5418 - Phone
- (503) 353-1278
- NPI assigned
- Aug 26, 2024
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 65479 | OR | Primary |
Addresses
Primary practice location
6327 SE Milwaukie Ave
Portland, OR 97202-5418
Mailing address
3416 SE 166TH Ave
Portland, OR 97236-1508
Phone (916) 541-8557
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Primary Care Group, PC | Physical Therapist | Current | Accepting new patients |
| Northwest Primary Care Group PC | Physical Therapist | Current | Accepting new patients |
Locations
3033 SE Monroe St
Portland, OR 97222
Phone (503) 216-5380
12119 SE Stevens Ct
Portland, OR 97086
Phone (503) 353-1278
6327 SE Milwaukie Ave
Portland, OR 97202
Phone (503) 418-8236
Interoperability endpoints
- kirsten.londeree.1@30939.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Portland, OR
- NPI 1144319658
Physical Therapist
-
- Family Medicine Physician
- Milwaukie, OR
- NPI 1558572180
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726617600000",
"number": "1558194357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3416 SE 166TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972361508",
"telephone_number": "916-541-8557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6327 SE MILWAUKIE AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972025418",
"telephone_number": "503-353-1278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONDEREE",
"first_name": "KIRSTEN",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-26",
"last_updated": "2024-09-18",
"certification_date": "2024-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "65479",
"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 Sep 18, 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.