Active NPI
Beth Lori Direnfeld-Obrien, PYSICAL THERAPIST
- Physical Therapist
- Lake Oswego, OR
National Provider Identifier
1154625697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6381
- Practice address
- 1200 Overlook Dr
Lake Oswego, OR 97034-6605 - Phone
- (503) 496-3755
- NPI assigned
- Dec 25, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 6381 | OR | Primary |
Addresses
Primary practice location
1200 Overlook Dr
Lake Oswego, OR 97034-6605
Mailing address
2821 SW Carolina St
Portland, OR 97239-1009
Phone (503) 957-3710
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6381 | OR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1293235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564099200000",
"number": "1154625697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2821 SW CAROLINA ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972391009",
"telephone_number": "503-957-3710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 OVERLOOK DR",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970346605",
"telephone_number": "503-496-3755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIRENFELD-OBRIEN",
"first_name": "BETH",
"middle_name": "LORI",
"name_prefix": "Mrs.",
"credential": "PYSICAL THERAPIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-25",
"last_updated": "2019-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "6381",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Oswego, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.