Individual provider Active NPI

David Burgess

  • Physical Therapist
  • Springfield, OR
National Provider Identifier
1023635653
Registry record updated Jun 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
445 Harlow Rd Ste 120
Springfield, OR 97477-1341
Phone
(541) 736-8870
NPI assigned
Jun 30, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2020

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 Primary

Addresses

Primary practice location

445 Harlow Rd Ste 120
Springfield, OR 97477-1341

Mailing address

16083 SW Upper Boones Ferry Rd Ste 300
Tigard, OR 97224-7736
Phone (503) 443-6156

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200928000983 OR Practitioner - Physical Therapist in Private Practice 4789009754 Reassigns benefits to 1 organization
I20251021001122 WI Practitioner - Physical Therapist in Private Practice 4789009754 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health in Motion, LLCGroup PAC ID 1153311972, 26 clinicians

Practice addresses (Care Compare)

930 S 17TH Ave
Wausau, WI 54401-5739
Phone (715) 870-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutic Associates Inc Physical Therapist CurrentSince Jul 13, 2020 Accepting new patients
Therapeutic Associates, Inc. Physical Therapist CurrentSince Jul 13, 2020 Accepting new patients
Health in Motion of Wisconsin, LLC Physical Therapist CurrentSince Sep 2, 2025 Accepting new patients
Therapeutic Associates Inc Physical Therapist Current Accepting new patients
Health in Motion, LLC Physical Therapist CurrentSince Sep 2, 2025 Accepting new patients
Therapeutic Associates Inc Physical Therapist Past Accepting new patients
Therapeutic Associates Inc Physical Therapist Past Accepting new patients

Locations

2911 Tennyson Ave
Ste 204
Eugene, OR 97408
Phone (541) 515-6194

4242 Commerce St
Ste A
Eugene, OR 97402
Phone (541) 484-9632

445 Harlow Rd
Ste 120
Springfield, OR 97477
Phone (541) 736-8870

16083 SW Upper Boones Ferry Rd
Ste 300
Tigard, OR 97224
Phone (503) 443-6153

586 Shepard St
Rhinelander, WI 54501
Phone (715) 365-5256

1521 Metro Dr
Schofield, WI 54476

930 S 17th Ave
Wausau, WI 54401
Phone (715) 870-2225

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593475200000",
    "number": "1023635653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16083 SW UPPER BOONES FERRY RD STE 300",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972247736",
            "telephone_number": "503-443-6156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 HARLOW RD STE 120",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974771341",
            "telephone_number": "541-736-8870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGESS",
        "first_name": "DAVID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-30",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.