Individual provider Active NPI

Michael Scotto, DPT

  • Physical Therapist
  • Portland, OR
National Provider Identifier
1609441682
Registry record updated Jan 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
65951 Issued in OR
Practice address
9115 SW Oleson Rd Ste 206
Portland, OR 97223-6877
Phone
(503) 245-2420
NPI assigned
May 23, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2026

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 65951 OR Primary

Addresses

Primary practice location

9115 SW Oleson Rd Ste 206
Portland, OR 97223-6877

Mailing address

9115 SW Oleson Rd Ste 205
Portland, OR 97223-6877
Phone (503) 245-2420

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220125002872 AZ Practitioner - Physical Therapist in Private Practice 0446642441 Reassigns benefits to 2 organizations
I20260224003555 OR Practitioner - Physical Therapist in Private Practice 0446642441 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Extremity Specialists LLCGroup PAC ID 3577881747, 21 clinicians

Practice addresses (Care Compare)

250 N Litchfield Rd
Suite 155
Goodyear, AZ 85338-1367
Phone (623) 882-9787

9115 SW Oleson Rd
Suite 205
Portland, OR 97223-6877
Phone (503) 245-2420

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
65951ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
White Tanks Physical Therapy and Orthopedic Rehabilitation LLC CurrentSince Mar 1, 2022 Accepting new patients
Northwest Extremity Specialists LLC CurrentSince Feb 1, 2026 Accepting new patients
Foothills Sports Medicine & Rehabilitation Litchfield Park, LLC Physical Therapist CurrentSince Oct 8, 2021 Accepting new patients
Northwest Extremity Specialists LLC CurrentSince Feb 1, 2026 Accepting new patients

Locations

250 N Litchfield Rd
Ste 155
Goodyear, AZ 85338
Phone (623) 882-9787

5110 N Dysart Rd
Ste 148
Litchfield Pk, AZ 85340
Phone (623) 547-4739

15410 S Mountain Pkwy
Ste 112
Phoenix, AZ 85044
Phone (480) 609-0822

15410 S Mountain Pkwy
Phoenix, AZ 85044
Phone (480) 329-8087

6542 SE Lake Rd
Ste 102
Portland, OR 97222
Phone (503) 659-6686

12400 NW Cornell Rd
Ste 201
Portland, OR 97229
Phone (503) 643-1737

9115 SW Oleson Rd
Ste 206
Portland, OR 97223

9115 SW Oleson Rd
Ste 205
Tigard, OR 97223
Phone (503) 243-5710

Organizations & group practices 4

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": "1621728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768694400000",
    "number": "1609441682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9115 SW OLESON RD STE 205",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972236877",
            "telephone_number": "503-245-2420",
            "fax_number": "503-245-2445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9115 SW OLESON RD STE 206",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972236877",
            "telephone_number": "503-245-2420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTTO",
        "first_name": "MICHAEL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-23",
        "last_updated": "2026-01-18",
        "certification_date": "2026-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "65951",
            "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 Jan 18, 2026; 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.