Active NPI
Amanda Garrison
- Rehabilitation Practitioner
- Beaverton, OR
National Provider Identifier
1013443548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 18218 SW Horse Tale Dr
Beaverton, OR 97007-9789 - Phone
- (503) 590-2959
- Fax
- (503) 590-2969
- NPI assigned
- May 3, 2017
- Last updated
- May 3, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | Primary |
Addresses
Primary practice location
18218 SW Horse Tale Dr
Beaverton, OR 97007-9789
Mailing address
17137 SW Woodhaven Dr
Sherwood, OR 97140-8222
Phone (971) 221-3534
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forwardstride | Past | Accepting new patients | |
| Forward Stride | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Rehabilitation Clinic/Center
- Beaverton, OR
- NPI 1255865663
-
- Prevention Professional
- Beaverton, OR
- NPI 1194260927
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493769600000",
"number": "1013443548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17137 SW WOODHAVEN DR",
"city": "SHERWOOD",
"state": "OR",
"postal_code": "971408222",
"telephone_number": "971-221-3534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18218 SW HORSE TALE DR",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970079789",
"telephone_number": "503-590-2959",
"fax_number": "503-590-2969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARRISON",
"first_name": "AMANDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-03",
"last_updated": "2017-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.