Andrew Ball, D.P.T

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

6056 NE Willow St
Portland, OR 97213-4370

Phone

(503) 704-6928

NPI assigned

May 11, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Clinician Link NW, LLC

  • Physical Therapist
  • Portland, OR
  • NPI 1154283471
  NPD Authorized official
• Gateway Sports Medicine & Rehabilitation PC

  • Physical Therapist
  • Portland, OR
  • NPI 1972698892
  NPD (past)

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

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1053799023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6056 NE WILLOW ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972134370",
            "telephone_number": "503-704-6928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6056 NE WILLOW ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972134370",
            "telephone_number": "503-704-6928"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18122 SW Lower Boones Ferry Rd",
            "address_purpose": "LOCATION",
            "city": "Tigard",
            "state": "OR",
            "postal_code": "972247216",
            "country_code": "US",
            "telephone_number": "503-639-2118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALL",
        "first_name": "ANDREW",
        "credential": "D.P.T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-11",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Eric Balkovich, MD
• Chaz Chavon Balkum
• Alexis Ball
• Amanda C Ball, MS
• Amanda D Ball, PSY.D
• Lee W Ball, MD
• Victoria Ball, DPT
• Cody Lee Ballard, PA-C
• Erica T Ballard
• Karen Ann Ballard, F.N.P.

• Physical Therapist in Portland, OR
• Providers in Portland, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.