Active NPI
Kevin A Schmidt, M.S.P.T.
- Orthopedic Physical Therapist
- Portland, OR
National Provider Identifier
1811039035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 4465
- Practice address
- 2622 SE 25TH Ave
Suite B
Portland, OR 97202-1217 - Phone
- (503) 453-4993
- NPI assigned
- Feb 13, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 4465 | OR | Primary |
Addresses
Primary practice location
2622 SE 25TH Ave
Suite B
Portland, OR 97202-1217
Mailing address
2719 SE 65TH Ave
Portland, OR 97206-1201
Phone (503) 453-4993
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 |
|---|---|---|---|
| 4465 | OR | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337644800000",
"number": "1811039035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2719 SE 65TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972061201",
"telephone_number": "503-453-4993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2622 SE 25TH AVE",
"address_2": "SUITE B",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972021217",
"telephone_number": "503-453-4993"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHMIDT",
"first_name": "KEVIN",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "M.S.P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-13",
"last_updated": "2012-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "OR",
"license": "4465",
"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 May 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.