Individual provider Active NPI

Bijay Prakash Upadhyaya, PT

  • Physical Therapist
  • Portland, OR
National Provider Identifier
1881568962
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
65820 Issued in OR
Practice address
1215 SE 8TH Ave Ste D
Portland, OR 97214-3497
Phone
(503) 248-0360
NPI assigned
Oct 2, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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 65820 OR Primary

Addresses

Primary practice location

1215 SE 8TH Ave Ste D
Portland, OR 97214-3497

Mailing address

5571 NW Deerfield Way
Portland, OR 97229-1940

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251203002487 OR Practitioner - Physical Therapist in Private Practice 4082107503 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
360 Degree Sports Medicine and Spine Therapy LLCGroup PAC ID 8729164249, 6 clinicians

Practice addresses (Care Compare)

1215 SE 8TH Ave
Suite D
Portland, OR 97214-3497
Phone (503) 248-0360

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
65820ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
360 Degree Sports Medicine & Spine Therapy LLC CurrentSince Oct 20, 2025 Accepting new patients

Locations

1215 SE 8th Ave
Ste D
Portland, OR 97214
Phone (503) 208-4360

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1759363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1881568962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5571 NW DEERFIELD WAY",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972291940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 SE 8TH AVE STE D",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972143497",
            "telephone_number": "503-248-0360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UPADHYAYA",
        "first_name": "BIJAY",
        "middle_name": "PRAKASH",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-10-02",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "65820",
            "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 Oct 2, 2025; 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.