Robin Jeanne Bousquet, MPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

60890 Issued in OR

Practice address

14780 SW Osprey Dr
Suite 270
Beaverton, OR 97007-8028

Phone

(971) 246-7478

Fax

(971) 249-3191

NPI assigned

Dec 13, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other names 1

• Robin Jeanne Bergquist Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Inspire Physical Therapy

  • Physical Therapy Clinic/Center
  • Beaverton, OR
  • NPI 1255887220
  NPD (past) Authorized official
• Erhardt Physical Therapy and Sports Medicine, LLC

  • Physical Therapist
  • Scappoose, OR
  • NPI 1326110313
  NPD (past)

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475625600000",
    "number": "1093998015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14780 SW OSPREY DR",
            "address_2": "SUITE 270",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970078028",
            "telephone_number": "971-246-7478",
            "fax_number": "971-249-3191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14780 SW OSPREY DR",
            "address_2": "SUITE 270",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970078028",
            "telephone_number": "971-246-7478",
            "fax_number": "971-249-3191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUSQUET",
        "first_name": "ROBIN",
        "middle_name": "JEANNE",
        "name_prefix": "Mrs.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-13",
        "last_updated": "2016-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "CA",
            "license": "PT 22975",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "CA",
            "license": "PT22975",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "OR",
            "license": "60890",
            "primary": true
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "OR",
            "license": "60890",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBIN",
            "last_name": "BERGQUIST",
            "middle_name": "JEANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Samantha Boulanger
• Bounce Back Acupuncture
• Alexander Bouneff, DMD, MD
• Anthony B. Bouneff, D.M.D.
• Lisa Ann Bourlon
• Benjamin L Bowers, LMT
• Mallory Bowman
• Marcella Box, D.C.
• Koosje Boyd
• Angela Maureen Boyer, M.S. CCC-SLP

• Pediatric Physical Therapist in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Pediatric Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2016; 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.