Individual provider Active NPI

Sarah Kotel, DPT

  • Physical Therapy Clinic/Center
  • Portland, OR
National Provider Identifier
1770360414
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
64616 Issued in OR
Practice address
700 SW Campus Dr
Portland, OR 97239-3107
Phone
(503) 494-8311
NPI assigned
Sep 14, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Physical Therapy Clinic/Center 261QP2000X 64616 OR Primary

Addresses

Primary practice location

700 SW Campus Dr
Portland, OR 97239-3107

Mailing address

4715 SE 35TH Ave
Portland, OR 97202-3325
Phone (503) 351-2987

Other practice location 1

4640 S MacAdam Ave Ste 90
Portland, OR 97239-4285
Phone (503) 292-0765

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

Practice roles

OrganizationSpecialtyStatusNew patients
Select Rehabilitation, LLC Physical Therapist CurrentSince Sep 20, 2024 Accepting new patients
Progressive Rehabilitation Associates LLC Physical Therapy CurrentSince Jun 1, 2024 Accepting new patients

Locations

1010 NE Purcell Blvd
Bend, OR 97701
Phone (541) 318-6042

4640 S Macadam Ave
Ste 90
Portland, OR 97239
Phone (503) 292-0765

9000 SW 91st Ave
Tigard, OR 97223
Phone (503) 445-4363

201 NW 78th St
Vancouver, WA 98665
Phone (360) 546-3344

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": "1694649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1770360414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4715 SE 35TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972023325",
            "telephone_number": "503-351-2987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SW CAMPUS DR",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393107",
            "telephone_number": "503-494-8311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4640 S MacAdam Ave Ste 90",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972394285",
            "country_code": "US",
            "telephone_number": "503-292-0765",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOTEL",
        "first_name": "SARAH",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-14",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "OR",
            "license": "64616",
            "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 Feb 27, 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.