Active NPI
Kent Tsuruo Morimatsu, PT
- Physical Therapist
- Beaverton, OR
National Provider Identifier
1841265287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5015
- Practice address
- 735 SW 158TH Ave
Suite 160
Beaverton, OR 97006-4952 - Phone
- (503) 597-0035
- Fax
- (503) 296-2985
- NPI assigned
- Feb 21, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5015 | OR | Primary |
Addresses
Primary practice location
735 SW 158TH Ave
Suite 160
Beaverton, OR 97006-4952
Mailing address
735 SW 158TH Ave
Suite 160
Beaverton, OR 97006-4952
Phone (503) 597-0035
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 520244002 | Other | OR | REGENCE |
| 5015 | Other | OR | PT LICENCE |
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physiotherapy Associates Inc | Past | Accepting new patients | |
| Physiotherapy Associates Inc | Past | Accepting new patients | |
| Erhardt Physical Therapy and Sports Medicine, LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Physical Therapist
- Scappoose, OR
- NPI 1326110313
-
- Physical Therapy Clinic/Center
- Beaverton, OR
- NPI 1750310819
-
- Physical Therapy Clinic/Center
- Estero, FL
- NPI 1720039902
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303257600000",
"number": "1841265287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "735 SW 158TH AVE",
"address_2": "SUITE 160",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970064952",
"telephone_number": "503-597-0035",
"fax_number": "503-296-2985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "735 SW 158TH AVE",
"address_2": "SUITE 160",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970064952",
"telephone_number": "503-597-0035",
"fax_number": "503-296-2985"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORIMATSU",
"first_name": "KENT",
"middle_name": "TSURUO",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-21",
"last_updated": "2011-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "5015",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE",
"identifier": "520244002",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT LICENCE",
"identifier": "5015",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.