Active NPI
Shawn Grimes, MSPT
- Physical Therapist
- Redmond, OR
National Provider Identifier
1609856756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- CP061418T
- Practice address
- 7555 Falcon Crest Dr Ste 301
Redmond, OR 97756-5022 - Phone
- (541) 527-4353
- NPI assigned
- Jan 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 8118 | CO | |
| Physical Therapist | 225100000X | CP061418T | OR | Primary |
| Physical Therapist | 225100000X | 60017 | OR |
Addresses
Primary practice location
7555 Falcon Crest Dr Ste 301
Redmond, OR 97756-5022
Mailing address
1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-8995
Other practice location 1
283 NW Miller Ave
Gresham, OR 97030-7260
Phone (503) 666-7644
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500699445 | Medicaid | OR | |
| 990070610 | Other | CO | RPN |
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 |
|---|---|---|---|
| 8118 | CO | MD | Endodontist |
| 60017 | OR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapeutic Associates Inc | Physical Therapist | Past | Accepting new patients |
| Omnis Omnia Inc. | Past | Accepting new patients | |
| Bayfield Physical Therapy, Inc. | Physical Therapist | Past | Accepting new patients |
| Therapeutic Associates Inc | Physical Therapist | Past | Accepting new patients |
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.
-
- Orthopedic Physical Therapist
- Redmond, OR
- NPI 1013949239
-
- Physical Therapist
- Portland, OR
- NPI 1700862000
-
- Physical Therapist
- Bayfield, CO
- NPI 1588784417
-
- Physical Therapist
- Bothell, WA
- NPI 1114376563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787184000000",
"number": "1609856756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 CORPORATE DR STE 400",
"city": "HOOVER",
"state": "AL",
"postal_code": "352425424",
"telephone_number": "423-238-8995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7555 FALCON CREST DR STE 301",
"city": "REDMOND",
"state": "OR",
"postal_code": "977565022",
"telephone_number": "541-527-4353"
}
],
"practiceLocations": [
{
"address_1": "283 NW Miller Ave",
"address_purpose": "LOCATION",
"city": "Gresham",
"state": "OR",
"postal_code": "970307260",
"country_code": "US",
"telephone_number": "503-666-7644",
"fax_number": "503-674-9980",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRIMES",
"first_name": "SHAWN",
"name_prefix": "Mr.",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-17",
"last_updated": "2026-08-20",
"certification_date": "2026-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "8118",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "CP061418T",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "60017",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500699445",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RPN",
"identifier": "990070610",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Redmond, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.