Individual provider Active NPI

Nayana Kode I, PT

  • Physical Therapist
  • Beaverton, OR
National Provider Identifier
1982972147
Registry record updated May 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
61621 Issued in OR
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

Updated by the provider on May 7, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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

LicenseStateTypeSpecialty
034362NYMDProsthodontist
61621ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kaiser Foundation Health Plan of the Northwest Multi-Specialty CurrentSince May 15, 2023 Accepting new patients
Kaiser Foundation Health Plan of the Northwest Multi-Specialty CurrentSince May 15, 2023 Accepting new patients
Kaiser Foundation Health Plan of the Northwest Multi-Specialty Current Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince May 15, 2023 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.

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.

Verify at the official NPI Registry.