Active NPI
Elizabeth Perez Quigley, MSPT
- Physical Therapist
- Portland, OR
National Provider Identifier
1750494431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4717
- Practice address
- 2701 NW Vaughn St
Portland, OR 97210-5311 - Phone
- (503) 721-6800
- NPI assigned
- Aug 16, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4717 | OR | Primary |
| Physical Therapist | 225100000X | PT00009392 | WA |
Addresses
Primary practice location
2701 NW Vaughn St
Portland, OR 97210-5311
Mailing address
10114 SE Derek Loop
Happy Valley, OR 97266-7275
Phone (503) 788-2549
Other names 1
- Elizabeth Perez
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT00009392 | WA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1750494431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10114 SE DEREK LOOP",
"city": "HAPPY VALLEY",
"state": "OR",
"postal_code": "972667275",
"telephone_number": "503-788-2549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 NW VAUGHN ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972105311",
"telephone_number": "503-721-6800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUIGLEY",
"first_name": "ELIZABETH",
"middle_name": "PEREZ",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "4717",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00009392",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "PEREZ",
"credential": "MSPT",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.