Individual provider Active NPI

Nylah Hazard, PT, DPT

  • Physical Therapist
  • Beaverton, OR
National Provider Identifier
1689154502
Registry record updated Jul 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
295212 Issued in CA
Practice address
11200 SW Murray Scholls PL Ste 100
Beaverton, OR 97007-9816
Phone
(503) 494-3151
NPI assigned
Aug 20, 2018
Last updated
Jul 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2026

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 295212 CA Primary

Addresses

Primary practice location

11200 SW Murray Scholls PL Ste 100
Beaverton, OR 97007-9816

Mailing address

11200 SW Murray Scholls PL Ste 100
Beaverton, OR 97007-9816

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181211003555 CA Practitioner - Physical Therapist in Private Practice 6608110036 Reassigns benefits to 1 organization
I20231018003685 OR Practitioner - Physical Therapist in Private Practice 6608110036 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of California, San Francisco School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11200 SW Murray Scholls PL
Suite 100
Beaverton, OR 97007-9816
Phone (503) 494-3151

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
295212CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ohsu Outpatient Clinical Services LLC CurrentSince Oct 1, 2023 Accepting new patients
Ohsu Outpatient Clinical Services LLC CurrentSince Oct 1, 2023 Accepting new patients
Healthy U Physical Therapy and Wellness Inc Physical Therapist CurrentSince Aug 10, 2018 Accepting new patients
Robert K. Otani, M.D. PastSince Aug 10, 2018 Accepting new patients

Locations

1030 Village Ln
Ste 180
Chico, CA 95926
Phone (530) 342-6498

552 Vallombrosa Ave
Chico, CA 95926
Phone (530) 343-8438

11200 SW Murray Scholls Pl
Ste 100
Beaverton, OR 97007
Phone (503) 494-3151

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783728000000",
    "number": "1689154502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11200 SW MURRAY SCHOLLS PL STE 100",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970079816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11200 SW MURRAY SCHOLLS PL STE 100",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970079816",
            "telephone_number": "503-494-3151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZARD",
        "first_name": "NYLAH",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-20",
        "last_updated": "2026-07-11",
        "certification_date": "2026-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "295212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2026; 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.