Kathleen Gendron, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

06484 Issued in OR

Practice address

7515 NE Ambassador PL Ste C
Portland, OR 97220-1379

Phone

(503) 261-8599

Fax

(503) 408-8932

NPI assigned

Nov 3, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Erhardt Physical Therapy and Sports Medicine, LLC

  dba ATI Physical Therapy

  • Physical Therapist
  • Scappoose, OR
  • NPI 1326110313
  NPD (past)

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

{
    "created_epoch": "1225670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1629221668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12200 NE BEACON ST",
            "city": "CASCADE LOCKS",
            "state": "OR",
            "postal_code": "970146637",
            "telephone_number": "971-258-0503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7515 NE AMBASSADOR PL STE C",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972201379",
            "telephone_number": "503-261-8599",
            "fax_number": "503-408-8932"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12200 NE Beacon St",
            "address_purpose": "LOCATION",
            "city": "Cascade Locks",
            "state": "OR",
            "postal_code": "970146637",
            "country_code": "US",
            "telephone_number": "971-258-0503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GENDRON",
        "first_name": "KATHLEEN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-03",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "06484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tabatha Rose Gemme
• Chantelle Anne Gemmill
• Sheila Croze Gencarelli, PHARM.D.
• David Genco Jr., DPT
• James Lee Gendreau, MD
• Maru Genemo
• General and Vascular Surgery
• Generations Family Medicine, Professional Corporation (Generations Family Medicine, P.C)
• Genesis Medical Group II, Inc
• Genesis Medical Group LLC

• Physical Therapist in Portland, OR
• Providers in Portland, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; 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.