Individual provider Active NPI

Rebecca Cheri Slape, PT, DPT

  • Physical Therapist
  • Portland, OR
National Provider Identifier
1770199283
Registry record updated Jul 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
63797 Issued in OR
Practice address
110 S Bancroft St Ste B
Portland, OR 97239-8523
Phone
(503) 821-0621
NPI assigned
Sep 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2022

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 63797 OR Primary

Addresses

Primary practice location

110 S Bancroft St Ste B
Portland, OR 97239-8523

Mailing address

110 S Bancroft St Ste B
Portland, OR 97239-8523
Phone (503) 821-0621

Other practice location 1

809 NW 11TH Ave
Portland, OR 97209-3219
Phone (971) 803-4179

Other practice location 2

6010 SW Shattuck Rd
Portland, OR 97221-1043
Phone (503) 246-8811

Other practice location 3

1450 N Prescott St Apt 332
Portland, OR 97217-3207
Phone (347) 904-1607

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210812001538 OR Practitioner - Physical Therapist in Private Practice 2163826108 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bridgetown Physical Therapy and Training Studio PCGroup PAC ID 2264514652, 13 clinicians

Practice addresses (Care Compare)

1500 SW 1St Ave
Suite 150
Portland, OR 97201-5900
Phone (503) 222-1955

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bridgetown Physical Therapy and Training Studio, PC Physical Therapist CurrentSince Jan 27, 2025 Accepting new patients
Rose City Pelvic Health, LLC Current Accepting new patients

Locations

1800 NW Upshur St
Ste 150
Portland, OR 97209
Phone (503) 719-5318

1500 SW 1st Ave
Ste 150
Portland, OR 97201
Phone (503) 222-1955

110 S Bancroft St
#B
Portland, OR 97239
Phone (503) 821-0621

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1600560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1770199283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S BANCROFT ST STE B",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972398523",
            "telephone_number": "503-821-0621",
            "fax_number": "971-254-8979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S BANCROFT ST STE B",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972398523",
            "telephone_number": "503-821-0621"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "809 NW 11TH AVE",
            "address_purpose": "LOCATION",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972093219",
            "country_code": "US",
            "telephone_number": "971-803-4179",
            "fax_number": "971-254-8979",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6010 SW Shattuck Rd",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972211043",
            "country_code": "US",
            "telephone_number": "503-246-8811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1450 N Prescott St Apt 332",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972173207",
            "country_code": "US",
            "telephone_number": "347-904-1607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SLAPE",
        "first_name": "REBECCA",
        "middle_name": "CHERI",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-20",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "63797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 5, 2022; 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.