MRS. KATHY SMITH WIJAYA PT
NPI 1619226990
Physical Therapist in Clackamas, OR
About Mrs. Kathy Smith Wijaya Pt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KATHY SMITH WIJAYA PT (NPI 1619226990) is an individual physical therapist in Clackamas, Oregon, licensed in Oregon (4057) and active in the NPI registry since September 2012. She is a graduate of Other (1997).
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Kathy Smith Wijaya Pt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kathy Wijaya reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Clackamas, OR 97015
- Reassigned Medicare billing, Oregon and Washington enrollments
- Also billed through NPI 1871848457 (Washington)
- 3,207 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CLACKAMAS, OR 97015
CLACKAMAS, OR 97015
CLACKAMAS, OR 97015
CLACKAMAS, OR 97015
CLACKAMAS, OR 97015
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 Kathy Wijaya's NPI number?
The NPI number for Kathy Wijaya is 1619226990. It was assigned to this individual provider in the NPPES registry on September 2, 2012.
Where is Kathy Wijaya located?
Kathy Wijaya practices at 10180 SE Sunnyside Rd, Clackamas, OR 97015. The listed phone number is (503) 571-2091.
What is Kathy Wijaya's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Kathy Wijaya enrolled in Medicare?
Yes. Kathy Wijaya is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kathy Wijaya's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathy Wijaya reassigns Medicare benefits to Kaiser Foundation Health Plan Of The Northwest (Clackamas, OR). The 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 Kathy Wijaya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kathy Wijaya was last updated on October 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.