Individual provider Active NPI

Madalyn Michal Frey, DPT, PT

  • Physical Therapist
  • Portland, OR
National Provider Identifier
1881419141
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
65548 Issued in OR
Practice address
17400 SW Upper Boones Ferry Rd Ste 280
Portland, OR 97224-7097
Phone
(503) 639-2118
NPI assigned
Nov 20, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2026

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 65548 OR Primary

Addresses

Primary practice location

17400 SW Upper Boones Ferry Rd Ste 280
Portland, OR 97224-7097

Mailing address

8700 NE Parrish Rd
Newberg, OR 97132-7094
Phone (253) 306-3371

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241206000003 OR Practitioner - Physical Therapist in Private Practice 8426584046 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Walton Physical Therapy and Sports Medicine IncGroup PAC ID 0547251829, 6 clinicians
Gateway Sports Medicine and Rehabilitation PCGroup PAC ID 4385617489, 8 clinicians

Practice addresses (Care Compare)

17400 SW Upper Boones Ferry Rd
Suite 280
Portland, OR 97224-7097
Phone (503) 639-2118

4734 River Rd N
Keizer, OR 97303-4536
Phone (503) 967-7874

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Walton Physical Therapy & Sports Medicine Inc Physical Therapist CurrentSince May 11, 2026 Accepting new patients
Gateway Sports Medicine & Rehabilitation PC Physical Therapist CurrentSince Nov 25, 2024 Accepting new patients
Pivot Health Acupuncture PastSince Jan 28, 2024 Accepting new patients

Locations

8810 SE Sunnybrook Blvd
Ste 100
Clackamas, OR 97015
Phone (503) 261-1120

4734 River Rd N
Keizer, OR 97303
Phone (503) 463-4663

17400 SW Upper Boones Ferry Rd
Ste 280
Portland, OR 97224
Phone (503) 455-8663

2600 Dallas Pkwy
Ste 290
Frisco, TX 75034
Phone (945) 260-0010

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": "1732060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1881419141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 NE PARRISH RD",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971327094",
            "telephone_number": "253-306-3371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17400 SW UPPER BOONES FERRY RD STE 280",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972247097",
            "telephone_number": "503-639-2118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREY",
        "first_name": "MADALYN",
        "middle_name": "MICHAL",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-20",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "65548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 27, 2026; 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.