Individual provider Active NPI

Kent Tsuruo Morimatsu, PT

  • Physical Therapist
  • Beaverton, OR
National Provider Identifier
1841265287
Registry record updated Apr 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5015 Issued in OR
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

Updated by the provider on Apr 20, 2011

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 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

IdentifierTypeStateIssuer
520244002OtherORREGENCE
5015OtherORPT 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

OrganizationSpecialtyStatusNew patients
Physiotherapy Associates Inc Past Accepting new patients
Physiotherapy Associates Inc Past Accepting new patients
Erhardt Physical Therapy and Sports Medicine, LLC Physical Therapist PastSince Jun 29, 2016 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.

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.

Verify at the official NPI Registry.