Active NPI
Steven Leslie Yates, PT
- Physical Therapist
- Tigard, OR
National Provider Identifier
1982636684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0662
- Practice address
- 15755 SW Sequoia Pkwy
Tigard, OR 97224-7166 - Phone
- (503) 639-8284
- Fax
- (503) 624-7216
- NPI assigned
- Jul 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 0662 | OR | Primary |
Addresses
Primary practice location
15755 SW Sequoia Pkwy
Tigard, OR 97224-7166
Mailing address
1825 N Williams Ave
Portland, OR 97227-1864
Phone (503) 288-2615
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 093518 | Medicaid | OR |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0662 | OR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reid and Yates Physical Therapy Inc | Physical Therapist | Past | Accepting new patients |
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.
-
- Physical Therapist
- Portland, OR
- NPI 1144259318
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1982636684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1825 N WILLIAMS AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972271864",
"telephone_number": "503-288-2615",
"fax_number": "503-288-0339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15755 SW SEQUOIA PKWY",
"city": "TIGARD",
"state": "OR",
"postal_code": "972247166",
"telephone_number": "503-639-8284",
"fax_number": "503-624-7216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YATES",
"first_name": "STEVEN",
"middle_name": "LESLIE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "0662",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "093518",
"state": "OR"
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.