Active NPI
Katherine Marie Porter
- Pediatric Physical Therapist
- Oregon City, OR
National Provider Identifier
1699266502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 62724
- Practice address
- 610 High St
Oregon City, OR 97045-2241 - Phone
- (503) 657-8903
- Fax
- (503) 650-4302
- NPI assigned
- May 25, 2018
- 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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 62724 | OR | Primary |
Addresses
Primary practice location
610 High St
Oregon City, OR 97045-2241
Mailing address
610 High St
Oregon City, OR 97045-2241
Phone (503) 657-8903
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62724 | OR | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527206400000",
"number": "1699266502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 HIGH ST",
"city": "OREGON CITY",
"state": "OR",
"postal_code": "970452241",
"telephone_number": "503-657-8903",
"fax_number": "503-650-4302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 HIGH ST",
"city": "OREGON CITY",
"state": "OR",
"postal_code": "970452241",
"telephone_number": "503-657-8903",
"fax_number": "503-650-4302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTER",
"first_name": "KATHERINE",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-25",
"last_updated": "2018-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "OR",
"license": "62724",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oregon City, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.