Active NPI
Erin Kincaid, DPT, CLT
- Physical Therapist
- Tualatin, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 62375
- Practice address
- 8100 SW Nyberg St Ste 130
Tualatin, OR 97062-8375 - Phone
- (503) 885-8677
- NPI assigned
- Jan 16, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 24797 | MD | |
| Physical Therapist | 225100000X | 62375 | OR | Primary |
Addresses
Primary practice location
8100 SW Nyberg St Ste 130
Tualatin, OR 97062-8375
Mailing address
8100 SW Nyberg St Ste 130
Tualatin, OR 97062-8375
Phone (503) 885-8677
Other practice location 1
10 Grosvenor Ct
Reisterstown, MD 21136-2433
Phone (410) 698-8180
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8100 SW Nyberg St
Suite 130
Tualatin, OR 97062-8375
Phone (503) 885-8677
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24797 | MD | MD | Physical Therapist |
| 62375 | OR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Move Strong Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Ellen Nona Hoyven, P.T. P.C. | Physical Therapist | Current | Accepting new patients |
Locations
6651 SW Capitol Hwy
Portland, OR 97219
Phone (503) 451-3750
8100 SW Nyberg St
Ste 130
Tualatin, OR 97062
Phone (503) 620-2400
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.
-
- Physical Therapist
- Tualatin, OR
- NPI 1073547923
-
- Physical Therapy Clinic/Center
- Portland, OR
- NPI 1881123495
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1841612306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8100 SW NYBERG ST STE 130",
"city": "TUALATIN",
"state": "OR",
"postal_code": "970628375",
"telephone_number": "503-885-8677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8100 SW NYBERG ST STE 130",
"city": "TUALATIN",
"state": "OR",
"postal_code": "970628375",
"telephone_number": "503-885-8677"
}
],
"practiceLocations": [
{
"address_1": "10 Grosvenor Ct",
"address_purpose": "LOCATION",
"city": "Reisterstown",
"state": "MD",
"postal_code": "211362433",
"country_code": "US",
"telephone_number": "410-698-8180",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KINCAID",
"first_name": "ERIN",
"name_prefix": "Mrs.",
"credential": "DPT, CLT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-16",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "24797",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "62375",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tualatin, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.