Kate Blough, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2306606458 Issued in VA

Practice address

1778 NE Cornell Rd
Hillsboro, OR 97124-2740

Phone

(503) 648-6621

NPI assigned

Apr 29, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1745884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1699563544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8540 SW 147TH TER UNIT 104",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970076981",
            "telephone_number": "315-317-4690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1778 NE CORNELL RD",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971242740",
            "telephone_number": "503-648-6621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOUGH",
        "first_name": "KATE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-29",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OR",
            "license": "10330",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "013780",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306606458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Blevins, P.T, DPT
• Elise Blinder, M.D.
• Laura Clair Blinn, CADC-R
• June Bliss
• Bloom Therapy, LLC
• Frederique Josee Blouin, PHARMD
• Sarah Elizabeth Bocchicchio, OTR/L
• Gretchen Bock, LMT
• Brian Edward Bodtker, D.C
• Kerry Michelle Boduch, PT

• Physical Therapy Assistant in Hillsboro, OR
• Providers in Hillsboro, OR by specialty
• Physical Therapy Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.