Bryan Andrade, LMT

Primary specialty

MechanotherapistTaxonomy code 172M00000X

License

14760 Issued in OR

Practice address

1915 NW Amberglen Pkwy
Suite 400
Beaverton, OR 97006-6951

Phone

(503) 621-8055

NPI assigned

Feb 26, 2011

Last updated

Jan 8, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1298678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357603200000",
    "number": "1144527193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 NE 28TH AVE",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971246204",
            "telephone_number": "503-621-8055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 NW AMBERGLEN PKWY",
            "address_2": "SUITE 400",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970066951",
            "telephone_number": "503-621-8055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRADE",
        "first_name": "BRYAN",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-26",
        "last_updated": "2013-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "OR",
            "license": "14760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Alan Anderson, PTA
• Matthew Davis Anderson
• Megan Marie Anderson
• Scott H Anderson, OD
• Tovi Marit Anderson, M.D., PH.D.
• Jessica Andre, LCSW
• Teresa Marie Andreoli, PSY.D.
• Andrew Murison (Mend Integrative Medicine)
• Susan Patricia Anduaga Bocanegra, MD
• Gianna Andujo

• Mechanotherapist in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Mechanotherapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2013; 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.