Active NPI
Nayana Kode I, PT
- Physical Therapist
- Beaverton, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 61621
- Practice address
- 14475 SW Barrows Rd
Beaverton, OR 97007-6103 - Phone
- (503) 966-5997
- NPI assigned
- Dec 2, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 61621 | OR | Primary |
Addresses
Primary practice location
14475 SW Barrows Rd
Beaverton, OR 97007-6103
Mailing address
14475 SW Barrows Rd
Beaverton, OR 97007-6103
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 |
|---|---|---|---|
| 034362 | NY | MD | Prosthodontist |
| 61621 | OR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Foundation Health Plan of the Northwest | Multi-Specialty | Current | Accepting new patients |
| Kaiser Foundation Health Plan of the Northwest | Multi-Specialty | Current | Accepting new patients |
| Kaiser Foundation Health Plan of the Northwest | Multi-Specialty | Current | Accepting new patients |
| Kaiser Foundation Health Plan of the Northwest | Current | Accepting new patients |
Locations
10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946
7201 N Interstate Ave
Portland, OR 97217
Phone (503) 240-4051
2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400
1230 7th Ave
Longview, WA 98632
Phone (360) 575-4801
7101 NE 137th Ave
Vancouver, WA 98682
Phone (360) 418-6000
Organizations & group practices 4
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.
-
- General Practice Physician
- Portland, OR
- NPI 1184786527
Multi-Specialty
-
- General Practice Physician
- Portland, OR
- NPI 1649722034
Multi-Specialty
-
- General Practice Physician
- Portland, OR
- NPI 1871848457
Multi-Specialty
-
- Clinic/Center
- Hillsboro, OR
- NPI 1942718622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620345600000",
"number": "1982972147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14475 SW BARROWS RD",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970076103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14475 SW BARROWS RD",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970076103",
"telephone_number": "503-966-5997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KODE",
"first_name": "NAYANA",
"name_prefix": "Prof.",
"name_suffix": "I",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-02",
"last_updated": "2021-05-07",
"certification_date": "2021-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "OR",
"license": "61621",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.