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360 DEGREE SPORTS MEDICINE & SPINE THERAPY LLC
NPI 1528268588
Physical Therapist - Orthopedic in Portland, OR

Active since July 18, 2007
1215 SE 8TH AVE., SUITE D, PORTLAND, OR 97214(503) 248-0360(503) 334-3675 Get Directions Write a Review

NPPES record last updated: October 31, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 31, 2022, Sep 27, 2018 (2 updates tracked since 2018).

About 360 Degree Sports Medicine & Spine Therapy Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

360 DEGREE SPORTS MEDICINE & SPINE THERAPY LLC (NPI 1528268588), doing business as 360 Degree Sports Medicine & Spine Therapy, is a healthcare organization registered as an orthopedic in Portland, Oregon and active in the NPI registry since July 2007. The organization lists Michelle Coffman, Ceo, as its authorized official.

NPPES Registry Identity

NPI1528268588
Entity TypeOrganization
Primary Taxonomy2251X0800X
Legal Business Name360 DEGREE SPORTS MEDICINE & SPINE THERAPY LLC
Location Address1215 SE 8TH AVE., SUITE DPortland, OR 97214
Mailing Address1215 Se 8th Ave., Suite DPortland, OR 97214 · (503) 248-0360 · Fax (503) 334-3675
Phone(503) 248-0360
Fax(503) 334-3675
Organization SubpartNo
Authorized OfficialMichelle CoffmanCeo · (503) 248-0360
Enumeration DateJuly 18, 2007
Last NPPES UpdateOctober 31, 20222 updates tracked since enumeration
NPPES CertifiedOctober 31, 2022
✔ NPI 1528268588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
Also ListedClinic/Center · Physical TherapyTaxonomy 261QP2000X · License 3018 (OR)
1215 SE 8TH AVE., Portland, OR 97214
Open in Google Maps ↗

Other Names 1

Former Legal Business Name360 Degree Sports Medicine & Spine Therapy

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

360 Degree Sports Medicine & Spine Therapy Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to 360 Degree Sports Medicine & Spine Therapy LLC, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 8 within 10 miles. They are listed nearest first.

Clinicians, nearest first (11)

Michelle Coffman, PT
Physical Therapist in Private Practice
NPI 1821146366
1215 SE 8TH AVE STE D
Portland, OR 97214
(503) 208-4360
✔ Accepts MedicareSame address
Kelsey Howard, PT
Physical Therapist in Private Practice
NPI 1689484065
1215 SE 8TH AVE STE D
Portland, OR 97214
(503) 208-4360
✔ Accepts MedicareSame address
Brian Ta, PT
Physical Therapist in Private Practice
NPI 1689390973
1215 SE 8TH AVE STE D
Portland, OR 97214
(503) 248-0360
✔ Accepts MedicareSame address
Bijay Upadhyaya, PT
Physical Therapist in Private Practice
NPI 1881568962
1215 SE 8TH AVE STE D
Portland, OR 97214
(503) 248-0360
✔ Accepts MedicareSame address
Caitlin Wade, PT
Physical Therapist in Private Practice
NPI 1962286583
1215 SE 8TH AVE STE D
Portland, OR 97214
(503) 248-0360
✔ Accepts MedicareSame address
Hannah Young
Physical Therapist in Private Practice
NPI 1841118841
1215 SE 8TH AVE STE D
Portland, OR 97214
(503) 248-0360
✔ Accepts MedicareSame address
Candis Synsvoll, PT
Physical Therapist in Private Practice
NPI 1922156363
1423 SE 23RD AVE
Portland, OR 97214
(503) 236-3108
✔ Accepts Medicare0.8 mi
Claire Maederer
Physical Therapist in Private Practice
NPI 1730865155
4437 SE CESAR ESTRADA CHAVEZ BLVD C
Portland, OR 97202
(503) 774-3585
✔ Accepts Medicare3.6 mi
Shalini Grover
Physical Therapist in Private Practice
NPI 1568237105
4420 92ND AVE SE
Mercer Island, WA 98040
(206) 714-6459
✔ Accepts Medicare143 mi
Erich Drossel, PT
Physical Therapist in Private Practice
NPI 1316615701
544 UNION AVE
Grants Pass, OR 97527
(541) 955-0940
✔ Accepts Medicare216 mi
Ryan Smrz, PT, DPT
Physical Therapist in Private Practice
NPI 1467115576
1 E ERIE ST STE 220
Chicago, IL 60611
(773) 525-5200
✔ Accepts Medicare1,758 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is 360 Degree Sports Medicine & Spine Therapy LLC's NPI number?

The NPI number for 360 Degree Sports Medicine & Spine Therapy LLC is 1528268588. It was assigned to this organization in the NPPES registry on July 18, 2007. The provider was formerly known as 360 Degree Sports Medicine & Spine Therapy.

Where is 360 Degree Sports Medicine & Spine Therapy LLC located?

360 Degree Sports Medicine & Spine Therapy LLC is located at 1215 SE 8th Ave. Suite D, Portland, OR 97214. The listed phone number is (503) 248-0360.

What is 360 Degree Sports Medicine & Spine Therapy LLC's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Is 360 Degree Sports Medicine & Spine Therapy LLC enrolled in Medicare?

Yes. 360 Degree Sports Medicine & Spine Therapy LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through 360 Degree Sports Medicine & Spine Therapy LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to 360 Degree Sports Medicine & Spine Therapy LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 6 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does 360 Degree Sports Medicine & Spine Therapy LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list 360 Degree Sports Medicine & Spine Therapy LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for 360 Degree Sports Medicine & Spine Therapy LLC was last updated on October 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.