Individual provider Active NPI

Kara Johnsen, DPT

  • Physical Therapist
  • Portland, OR
National Provider Identifier
1669925020
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6343 Issued in NV
Practice address
6450 SW Evelyn St
Portland, OR 97219-5620
Phone
(503) 313-9538
NPI assigned
Aug 2, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 6343 NV Primary
Physical Therapist 225100000X CP004198T WA
Physical Therapist 225100000X CP003839T AZ
Physical Therapist 225100000X CP003601T CO
Physical Therapist 225100000X 61849 OR

Addresses

Primary practice location

6450 SW Evelyn St
Portland, OR 97219-5620

Mailing address

6450 SW Evelyn St
Portland, OR 97219-5620
Phone (503) 313-9538

Other names 1

  • Kara Rasmussen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160922001319 OR Practitioner - Physical Therapist in Private Practice 3072800804 Reassigns benefits to 1 organization
I20210312001676 WA Practitioner - Physical Therapist in Private Practice 3072800804 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2472 Patterson Rd
Unit 8
Grand Junction, CO 81505-1100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP003839TAZMDPhysical Therapist
CP003601TCOMDPhysical Therapist
6343NVMDPhysical Therapist
CP004198TWAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Oregon Luna Care Physical Therapy LLC Physical Therapist CurrentSince Jun 27, 2022 Accepting new patients
Vail-Summit Orthopaedics PC Current Accepting new patients
Integrated Rehabilitation Group, PC Physical Therapist CurrentSince Feb 8, 2021 Accepting new patients
Integrated Rehabilitation Group, PC Physical Therapist CurrentSince Feb 8, 2021 Accepting new patients
California Rehabilitation & Sports Therapy a California Physical Ther Physical Therapist Past Accepting new patients
California Rehabilitation & Sports Therapy a California Physical Ther Physical Therapist Past Accepting new patients

Locations

360 Peak One Dr
Ste 190
Frisco, CO 80443
Phone (970) 668-0888

360 Peak One Dr
#180
Frisco, CO 80443
Phone (970) 668-3633

2472 Patterson Rd
Unit 8
Grand Junction, CO 81505

9620 NE Tanasbourne Dr
Ste 300
Hillsboro, OR 97124
Phone (833) 756-8643

10207 19th Ave SE
Everett, WA 98208
Phone (425) 337-3166

403 W Stanley St
Granite Falls, WA 98252
Phone (360) 691-4835

4220 132nd St SE
Ste 101
Mill Creek, WA 98012
Phone (425) 316-8046

275 SE Cabot Dr
Ste A5
Oak Harbor, WA 98277
Phone (360) 914-5504

Organizations & group practices 6

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": "1470096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1669925020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6450 SW EVELYN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972195620",
            "telephone_number": "503-313-9538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6450 SW EVELYN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972195620",
            "telephone_number": "503-313-9538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSEN",
        "first_name": "KARA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-02",
        "last_updated": "2024-01-09",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "6343",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "CP004198T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "CP003839T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "CP003601T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "61849",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARA",
            "last_name": "RASMUSSEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 9, 2024; 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.