Active NPI
Neena Marie Kirkwood, D.P.T.
- Physical Therapist
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5194
- Practice address
- 10915 SE Stark St
Portland, OR 97216-3348 - Phone
- (503) 261-1120
- Fax
- (503) 261-8936
- NPI assigned
- Sep 27, 2006
- Sex
- Female
- 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 | 5194 | OR | Primary |
Addresses
Primary practice location
10915 SE Stark St
Portland, OR 97216-3348
Mailing address
10915 SE Stark St
Portland, OR 97216-3348
Phone (503) 261-1120
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230110000761 | WA | Practitioner - Physical Therapist in Private Practice | 0749374445 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Therapydia of Washington PC
Practice addresses (Care Compare)
1125 SE 163Rd PL
Suite 102
Vancouver, WA 98683-4468
Phone (360) 768-4340
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5194 | OR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapydia of Washington PC | Physical Therapist | Current | Accepting new patients |
| Pivot Health Acupuncture | Current | Accepting new patients |
Locations
8810 SE Sunnybrook Blvd
Ste 100
Clackamas, OR 97015
Phone (503) 261-1120
1125 SE 163rd Pl
Ste 102
Vancouver, WA 98683
Phone (360) 658-4340
7604 NE 5th Ave
Ste 109
Vancouver, WA 98665
Phone (360) 314-4380
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.
-
- Physical Therapist
- Vancouver, WA
- NPI 1902643992
-
- Acupuncturist
- Clackamas, OR
- NPI 1184040255
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275350400000",
"number": "1992896740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10915 SE STARK ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972163348",
"telephone_number": "503-261-1120",
"fax_number": "503-261-8936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10915 SE STARK ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972163348",
"telephone_number": "503-261-1120",
"fax_number": "503-261-8936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRKWOOD",
"first_name": "NEENA",
"middle_name": "MARIE",
"credential": "D.P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-27",
"last_updated": "2010-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "5194",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2010; 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.