Individual provider Active NPI

Katherine Mendy, PT

  • Physical Therapist
  • Tigard, OR
National Provider Identifier
1912374984
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501017288 Issued in MI
Practice address
7800 SW Durham Rd
Tigard, OR 97224-7577
Phone
(503) 937-0090
Fax
(503) 273-5191
NPI assigned
Aug 26, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2017

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 5501017288 MI Primary

Addresses

Primary practice location

7800 SW Durham Rd
Tigard, OR 97224-7577

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170619001382 OR Practitioner - Physical Therapist in Private Practice 9133435571 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
Erhardt Physical Therapy and Sports Medicine LLCGroup PAC ID 1153214739, 58 clinicians

Practice addresses (Care Compare)

7800 SW Durham Rd
Suite 500
Tigard, OR 97224-7578
Phone (503) 937-0090

Merit-based Incentive Payment System (MIPS)

Final score
85.22 of 100Reported as group
Quality
87.65
Improvement activities
40
Cost
73.37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Erhardt Physical Therapy and Sports Medicine, LLC Physical Therapist CurrentSince Jun 12, 2017 Accepting new patients
Dimond Physical Therapy and Performance Lab, LLC Physical Therapist CurrentSince Jun 12, 2017 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

735 SW 158th Ave
Ste 160
Beaverton, OR 97006
Phone (503) 597-0035

14603 SW Teal Blvd
Beaverton, OR 97007
Phone (941) 348-4641

11709 SW Beaverton Hillsdale Hwy
Ste B6
Beaverton, OR 97005
Phone (971) 327-4906

11977 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 486-6944

495 W Arlington St
Gladstone, OR 97027
Phone (971) 233-0309

5262 NE Brookwood Pkwy
Hillsboro, OR 97124
Phone (503) 395-3000

2259 SE Tualatin Valley Hwy
Hillsboro, OR 97123
Phone (971) 708-7322

564 NE Highway 99W
McMinnville, OR 97128
Phone (503) 472-0096

9500 SE 82nd Ave
Ste B
Portland, OR 97086
Phone (971) 323-6234

7545 SW Barnes Rd
Ste 117
Portland, OR 97225
Phone (503) 205-6704

3322 N Vancouver Ave
Portland, OR 97227

2296 Gable Rd
Ste 230
Saint Helens, OR 97051
Phone (503) 438-3210

3165 Commercial St SE
Ste 101
Salem, OR 97302

2480 Liberty St NE
Ste 140
Salem, OR 97301
Phone (503) 763-3525

51385 SW Old Portland Rd
Scappoose, OR 97056
Phone (503) 543-7768

20655 SW Roy Rogers Rd
Sherwood, OR 97140
Phone (503) 862-5540

7800 SW Durham Rd
Ste 500
Tigard, OR 97224
Phone (503) 937-0090

30060 SW Boones Ferry Rd
Ste C34
Wilsonville, OR 97070
Phone (503) 404-3068

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": "1440547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494460800000",
    "number": "1912374984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 SW DURHAM RD",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972247577",
            "telephone_number": "503-937-0090",
            "fax_number": "503-273-5191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDY",
        "first_name": "KATHERINE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-26",
        "last_updated": "2017-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501017288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tigard, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.