Individual provider Active NPI

Melissa Meyer

  • Physical Therapist
  • Portland, OR
National Provider Identifier
1598069528
Registry record updated Sep 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
62052 Issued in OR
Practice address
3880 SE 8TH Ave Ste 150
Portland, OR 97202-3774
Phone
(503) 308-1488
NPI assigned
Jan 5, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 62052 OR Primary

Addresses

Primary practice location

3880 SE 8TH Ave Ste 150
Portland, OR 97202-3774

Mailing address

3880 SE 8TH Ave Ste 150
Portland, OR 97202-3774
Phone (503) 308-1488

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
62052ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pace Pediatric Therapy, Inc. CurrentSince May 1, 2020 Accepting new patients
Kidtherapy, PLLC Physical Therapist Past Accepting new patients

Locations

3880 SE 8th Ave
Ste 150
Portland, OR 97202
Phone (503) 308-1488

4412 S Barbur Blvd
Ste 200
Portland, OR 97239
Phone (503) 308-1488

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1294185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664496000000",
    "number": "1598069528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3880 SE 8TH AVE STE 150",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972023774",
            "telephone_number": "503-308-1488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3880 SE 8TH AVE STE 150",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972023774",
            "telephone_number": "503-308-1488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "MELISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-05",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "62052",
            "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 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.