Pacific Neuro Therapy
NPI 1316394083ActiveOrganization· Physical Therapist· Tigard, OR
Physical Therapist in Tigard, Oregon, registered in NPPES in May 2016. The authorized official on file is Kellen Mastrud, Co-Owner & President.
Overview
| NPI | 1316394083 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 23, 2016 |
| Last updated in NPPES | Oct 3, 2022 |
| Certified by provider | Oct 3, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
| Clinic/Center, Physical Therapy | 261QP2000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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