Individual provider Active NPI

Brian Carper, DPT

  • Physical Therapist
  • Portland, OR
National Provider Identifier
1003546482
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
64557 Issued in OR
Practice address
300 N Graham St Ste 430
Portland, OR 97227-1667
Phone
(503) 413-1500
NPI assigned
Jun 16, 2022
Last updated
Aug 27, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 64557 OR Primary

Addresses

Primary practice location

300 N Graham St Ste 430
Portland, OR 97227-1667

Mailing address

5970 Kennycroft Way
Lake Oswego, OR 97035-7026
Phone (360) 624-1143

Other practice location 1

507 NE 47th Ave
Portland, OR 97213-2236
Phone (503) 215-6488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.22 of 100Reported as group
Quality
87.65
Improvement activities
40
Cost
73.37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dimond Physical Therapy and Performance Lab, LLC Physical Therapist CurrentSince Jan 1, 2023 Accepting new patients
Erhardt Physical Therapy and Sports Medicine, LLC Physical Therapist CurrentSince Jan 9, 2023 Accepting new patients
Legacy Emanuel Hospital & Health Center PastSince Sep 1, 2024 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

735 SW 158th Ave
Ste 160
Beaverton, OR 97006
Phone (503) 597-0035

51385 SW Old Portland Rd
Scappoose, OR 97056
Phone (503) 543-7768

7800 SW Durham Rd
Ste 500
Tigard, OR 97224
Phone (503) 937-0090

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1003546482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5970 KENNYCROFT WAY",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970357026",
            "telephone_number": "360-624-1143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N GRAHAM ST STE 430",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271667",
            "telephone_number": "503-413-1500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "507 NE 47th Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972132236",
            "country_code": "US",
            "telephone_number": "503-215-6488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARPER",
        "first_name": "BRIAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-16",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "64557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.