MRS. TAMARINE NATHAN (DPT) – Orthopedic Physical Therapist, NPI 1225430002

MRS. TAMARINE NATHAN (DPT) is a healthcare provider. based in Tigard, Oregon. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. PT 41637 (CA). The NPI Number for MRS. TAMARINE NATHAN (DPT) is 1225430002

Main info

Female
Sole Proprietor
12 Years Of Experience
Name
MRS. TAMARINE NATHAN (DPT)
NPI
1225430002
Phone
(503) 974-9078
Address
12540 SW 68TH AVE.
Enumeration Date
23 September 2014
Last Update Date
27 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5039749078
Graduation Year
2014 (12 years ago)
PAC ID
3375854854
Group Practice PAC ID
9537302245
Professional Enrollment ID
I20190218001930
Address ID
OR97223XXXXTIXXXXXXXXXX00

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/interconnect-prodnwm/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness85
Years active:11State licenses:2Other namesUpdated within 12 months

9,448 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

Provider Addresses for MRS. TAMARINE NATHAN (DPT)

  • 12540 SW 68TH AVE.

    TIGARD, OR 972238597

    Phone: (503) 974-9078

    Fax: (503) 974-9083

    Type: Mailing

  • 7633 YARMOUTH AVE

    RESEDA, CA 913352247

    Phone:

    Type: Mailing

  • 1950 SAWTELLE BLVD

    #190

    LOS ANGELES, CA 900257014

    Phone: (310) 312-5678

    Type: Location

  • 5922 SW NEVADA CT

    PORTLAND, OR 972191252

    Phone: (310) 613-0929

    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: 2019-02-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20190218001930IPhysical Therapist In Private PracticeORTBD
I20190219003223IPhysical Therapist In Private PracticeWATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97223)

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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: 9537302245View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeOR
-OR

Reviews

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Frequently asked questions

Is there an official ID for MRS. TAMARINE NATHAN (DPT) in U.S. healthcare records?
The official identifier for MRS. TAMARINE NATHAN (DPT) is NPI 1225430002.
Active or inactive — what applies to MRS. TAMARINE NATHAN (DPT)?
You should see MRS. TAMARINE NATHAN (DPT) as active in CMS-hosted NPPES data.
How would a patient describe MRS. TAMARINE NATHAN (DPT)'s focus?
For MRS. TAMARINE NATHAN (DPT), the primary taxonomy reads as Orthopedic Physical Therapist. Clinical services aligned with this taxonomy classification.
What locale is associated with MRS. TAMARINE NATHAN (DPT)?
Directory geography for MRS. TAMARINE NATHAN (DPT) centers on Tigard, Oregon.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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