Daniel Brasch, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6590 Issued in OR

Practice address

702 SW Ramsey Ave
Suite 220
Grants Pass, OR 97527-5858

Phone

(541) 479-0765

Fax

(541) 479-3461

NPI assigned

Sep 21, 2011

Last updated

Nov 1, 2012By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jackson County Physical Therapy LLPGroup PAC ID 4284615311, 12 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jackson County Physical Therapy LLP

  • Physical Therapist
  • Medford, OR
  • NPI 1013112903
  Medicare reassignment Care Compare group
• Therapeutic Associates Inc

  dba TAI - Rock Creek

  • Physical Therapist
  • Portland, OR
  • NPI 1144042649
  NPD (past)
• Therapeutic Associates Inc

  dba TAI Cedar Hills Physical Therapy

  • Physical Therapist
  • Portland, OR
  • NPI 1700862000
  NPD (past)
• Therapeutic Associates Inc

  dba TAI - North Creek

  • Physical Therapist
  • Bothell, WA
  • NPI 1114376563
  NPD (past)

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

{
    "created_epoch": "1316563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351728000000",
    "number": "1104109503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16083 SW UPPER BOONES FERRY RD",
            "address_2": "SUITE 300",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972247736",
            "telephone_number": "800-219-8835",
            "fax_number": "503-639-9699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 SW RAMSEY AVE",
            "address_2": "SUITE 220",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975275858",
            "telephone_number": "541-479-0765",
            "fax_number": "541-479-3461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRASCH",
        "first_name": "DANIEL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-21",
        "last_updated": "2012-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "6590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01021707",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500639148",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taila Bradshaw, CSWA
• Robyn Bragg
• Thomas R Brandes, MD
• Kaitlin Rose Brannon
• Tina Marie Brannon
• Sherry Marie Brass, REGISTERED NURSE
• Jeremy Braun, MS
• Brenden C Scott DMD LLC
• Marzuri Lynn Brennan
• Katherine Bretl, M.A. CCC-SLP

• Physical Therapist in Grants Pass, OR
• Providers in Grants Pass, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2012; 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.