Individual provider Active NPI

Vivian Vy Hoang Mai, DPT, PT

  • Orthopedic Physical Therapist
  • Portland, OR
National Provider Identifier
1881518132
Registry record updated Aug 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
66198 Issued in OR
Practice address
332 NE San Rafael St
Portland, OR 97212-3948
Phone
(503) 288-2615
NPI assigned
Aug 8, 2026
Last updated
Aug 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 66198 OR Primary

Addresses

Primary practice location

332 NE San Rafael St
Portland, OR 97212-3948

Mailing address

8645 NE Duddleson St
Portland, OR 97220-5265
Phone (971) 407-6164

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

State licenses

LicenseStateTypeSpecialty
66198ORMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
North Lake Physical Therapy and Rehab LP CurrentSince Sep 1, 2026 Accepting new patients

Locations

101 S State St
Ste 4200
Lake Oswego, OR 97034
Phone (503) 636-3028

332 NE San Rafael St
Portland, OR 97212
Phone (503) 288-2615

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1786147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786147200000",
    "number": "1881518132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8645 NE DUDDLESON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972205265",
            "telephone_number": "971-407-6164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 NE SAN RAFAEL ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972123948",
            "telephone_number": "503-288-2615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAI",
        "first_name": "VIVIAN VY",
        "middle_name": "HOANG",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-08",
        "last_updated": "2026-08-08",
        "certification_date": "2026-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OR",
            "license": "66198",
            "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 Aug 8, 2026; 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.