NPIMap

Organization Active NPI

Mendwell Health LLC

  • Physical Therapist
  • Portland, OR
National Provider Identifier
1861154940
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MENDWELL HEALTH LLC
Practice address
11850 SW 67TH Ave Ste 145
Portland, OR 97223-8961
Phone
(971) 204-8598
NPI assigned
Oct 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Katherine Hamilton, PTANPI 1083121727
Title
Co-Founder & Clinical Director
Phone
(904) 654-7420

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

11850 SW 67TH Ave Ste 145
Portland, OR 97223-8961

Mailing address

11850 SW 67TH Ave Ste 145
Portland, OR 97223-8961
Phone (904) 654-7420

Other names 1

  • Mendwell Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240809000546 OR Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6507303484 Receives reassigned benefits from 9 practitioners
Practice locations: Tigard, OR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1633478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726444800000",
    "number": "1861154940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11850 SW 67TH AVE STE 145",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972238961",
            "telephone_number": "904-654-7420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11850 SW 67TH AVE STE 145",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972238961",
            "telephone_number": "971-204-8598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDWELL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-06",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "CO-FOUNDER & CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "904-654-7420",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mendwell",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mendwell",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.