ALISSA A CAMERON (PT) – Physical Therapist, NPI 1205068947

ALISSA A CAMERON (PT) is a healthcare provider. based in Fairview, Oregon. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 6006 (OR). The NPI Number for ALISSA A CAMERON (PT) is 1205068947

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
ALISSA A CAMERON (PT)
NPI
1205068947
Phone
(503) 489-6250
Address
1480 NE VILLAGE ST
Enumeration Date
13 August 2009
Last Update Date
8 November 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4062858342
Graduation Year
2009 (17 years ago)
PAC ID
9436205366
Group Practice PAC ID
7113902321
Professional Enrollment ID
I20190129003793
Address ID
MT598403126HA336XXRDXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

1,808 PHYSICAL THERAPIST IN PRIVATE PRACTICE in OR

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Provider Addresses for ALISSA A CAMERON (PT)

  • 1480, Northeast Village Street, Fairview, Metro, Multnomah County, Oregon, 97024, United States

    FAIRVIEW

    FAIRVIEW, OR 970243827

    Phone: (503) 489-6250

    Fax: (503) 489-1650

    Type: Mailing

  • Southeast Stark Street, Northeast, Gresham, Multnomah County, Oregon, 97060, United States

    GRESHAM

    GRESHAM, OR 970303331

    Phone: (503) 328-0222

    Fax: (503) 328-0223

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-01-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190129003793IPhysical Therapist In Private PracticeMTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97530Therapy procedure using functional activities1,86169$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes50944$0
97140Therapy procedure using manual technique, each 15 minutes31243$0
97016Application of blood vessel compression device22730$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care6612$0
View full utilization report →

Insurance plans in this area (ZIP 97024)

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Provider's Procedures

ALISSA A CAMERON (PT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYOR97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes12622

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7113902321View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMT
Occupational Therapist In Private PracticeMT
Physical Therapist In Private PracticeMT
Physical Therapist In Private PracticeMT
Physical Therapist In Private PracticeMT
Physical Therapist In Private PracticeMT
Physical Therapist In Private PracticeAZ
Physical Therapist In Private PracticeMT
-MT
Physical Therapist In Private PracticeMT

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Frequently asked questions

Is ALISSA A CAMERON (PT) listed with a National Provider Identifier?
Yes — ALISSA A CAMERON (PT) has NPI 1205068947 on file in the registry.
Would ALISSA A CAMERON (PT) appear as active to a payer?
You can treat ALISSA A CAMERON (PT) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with ALISSA A CAMERON (PT)?
ALISSA A CAMERON (PT)'s record emphasizes Physical Therapist. Clinical services aligned with this taxonomy classification.
Is ALISSA A CAMERON (PT) located near Fairview?
ALISSA A CAMERON (PT) currently maps to Fairview, Oregon in this extract.
Can I trust this NPI listing for ALISSA A CAMERON (PT)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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