Active NPI
Lorraine M Rawson, PT
- Physical Therapist
- Portland, OR
National Provider Identifier
1669690111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3783
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3783 | Other | OR | PT LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3783 | OR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Momenta Health PLLC | Physical Therapist | Current | Accepting new patients |
| West Portland Physical Therapy Clinic LLC | Past | 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.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Portland, OR
- NPI 1396818993
-
- Physical Therapy Clinic/Center
- Portland, OR
- NPI 1134175706
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.