Phoebe Pearson, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

61842 Issued in OR

Practice address

1034 SE 96TH Ave
Portland, OR 97216-1150

Phone

(503) 546-7640

NPI assigned

Jul 28, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1469664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469664000000",
    "number": "1760935514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 SE 3RD AVE",
            "address_2": "# 74",
            "city": "CANBY",
            "state": "OR",
            "postal_code": "970134555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 SE 96TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972161150",
            "telephone_number": "503-546-7640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "PHOEBE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-28",
        "last_updated": "2016-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "61842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Michael Pearson, MD
• Katherine Louise Pearson, OTR
• Laurie Y. Pearson, LCSW
• Linda Pearson
• Nancy Anne Pearson, LCSW
• Shelby Elise Pearson
• Sonja Pearson, LMT
• Theodore Lee Pearson III, CADC I
• Tuesday Elizabeth Pearson, D.O.
• Susan Pease Banitt, LCSW

• Physical Therapist in Portland, OR
• Providers in Portland, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2016; 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.