Individual provider Active NPI

Lorraine M Rawson, PT

  • Physical Therapist
  • Portland, OR
National Provider Identifier
1669690111
Registry record updated Mar 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3783 Issued in OR
Practice address
1305 SW 1St Ave
Portland, OR 97201-5801
Phone
(503) 228-5676
Fax
(503) 228-5675
NPI assigned
Apr 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2014

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 3783 OR Primary

Addresses

Primary practice location

1305 SW 1St Ave
Portland, OR 97201-5801

Mailing address

1305 SW 1St Ave
Portland, OR 97201-5801
Phone (503) 228-5676

Other identifiers 1

IdentifierTypeStateIssuer
3783OtherORPT LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260309003189 WA Practitioner - Physical Therapist in Private Practice 7012002348 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Momenta Health PLLCGroup PAC ID 9739511981, 6 clinicians

Practice addresses (Care Compare)

1756 Iowa St
Bellingham, WA 98229-4702
Phone (360) 207-4488

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3783ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Momenta Health PLLC Physical Therapist CurrentSince Dec 30, 2025 Accepting new patients
West Portland Physical Therapy Clinic LLC PastSince Apr 25, 2006 Accepting new patients
Providence Health & Services Oregon Past Accepting new patients

Locations

1756 Iowa St
Bellingham, WA 98229
Phone (360) 207-4488

Organizations & group practices 3

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": "1177200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394582400000",
    "number": "1669690111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 SW 1ST AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972015801",
            "telephone_number": "503-228-5676",
            "fax_number": "503-228-5675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 SW 1ST AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972015801",
            "telephone_number": "503-228-5676",
            "fax_number": "503-228-5675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAWSON",
        "first_name": "LORRAINE",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-22",
        "last_updated": "2014-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "3783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "3783",
            "state": "OR"
        }
    ],
    "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 Mar 12, 2014; 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.