Individual provider Active NPI

Erin Kincaid, DPT, CLT

  • Physical Therapist
  • Tualatin, OR
National Provider Identifier
1841612306
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
62375 Issued in OR
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

Updated by the provider on Mar 17, 2018

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 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

Enrollment IDStateProvider typePAC IDDetails
I20171130001391 OR Practitioner - Physical Therapist in Private Practice 0840502894 Reassigns benefits to 2 organizations

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
Ellen Nona Hoyven PT PCGroup PAC ID 2668461807, 8 clinicians

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

LicenseStateTypeSpecialty
24797MDMDPhysical Therapist
62375ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Move Strong Physical Therapy LLC Physical Therapist CurrentSince May 16, 2018 Accepting new patients
Ellen Nona Hoyven, P.T. P.C. Physical Therapist CurrentSince Oct 2, 2017 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.

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.

Verify at the official NPI Registry.