Dorothy Dalia Aiello, DPT
Individual provider Active NPI Physical Therapist · Portland, OR
NPI 1922052158 · NPPES record last updated Mar 24, 2024
Key facts
- NPI
- 1922052158
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 4670 (OR)
- Practice address
- 1585 SW Marlow Ave Ste 200
Portland, OR 97225-5178 - Phone
- (503) 862-8105
- Fax
- (503) 902-9495
- NPI assigned
- May 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1675 SW Marlow Ave
Suite 400
Portland, OR 97225-5102
Phone (503) 862-8105
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050831000014 | OR | Practitioner - Physical Therapist in Private Practice | 3274564158 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinicops, LLC | Current |
Accepting new patients | |
| Northwest Physical Therapy Care, LLC | Physical Therapist | Current |
Accepting new patients |
| Clinicops LLC | Past |
Accepting new patients |
Locations
2970 Highway 101
Florence, OR 97439
Phone (541) 902-0800
1585 SW Marlow Ave
Ste 200
Portland, OR 97225
Phone (503) 548-4008
1675 SW Marlow Ave
Ste 400
Portland, OR 97225
Phone (503) 862-8105
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4670 | OR | Yes |
Addresses
Primary practice location
1585 SW Marlow Ave Ste 200
Portland, OR 97225-5178
Mailing address
1585 SW Marlow Ave Ste 200
Portland, OR 97225-5178
Phone (503) 862-8105
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 269784 | Medicaid | OR |
Other providers in Portland, OR
- Karen Lou Aichele
- Harrison Aidala
- Aidan Senior Living at Reedwood, Inc.
- Aiden Healthcare LLC
- Omoregie Peter Aideyman
- Nicola Aiello
- Muaz Masood Aijazi
- Shadab Nasreen Aijazi
- Heidi Jo Aiken
- Sonova Aiken
All providers in Portland, OR · Physical Therapist in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.