Active NPI
Brianne C Grogan, PT
- Physical Therapist
- Portland, OR
National Provider Identifier
1205022589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5221
- Practice address
- 2250 NW Flanders St
Suite Garden 01
Portland, OR 97210-3443 - Phone
- (503) 224-1947
- NPI assigned
- Sep 19, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5221 | OR | Primary |
| Physical Therapist | 225100000X | PT00010689 | WA |
Addresses
Primary practice location
2250 NW Flanders St
Suite Garden 01
Portland, OR 97210-3443
Mailing address
2250 NW Flanders St
Suite Garden 01
Portland, OR 97210-3443
Phone (503) 224-1947
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 |
|---|---|---|---|
| 5221 | OR | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Everybody Physical Therapy LLC | Past | Accepting new patients | |
| Everybody Physical Therapy LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapy Clinic/Center
- Portland, OR
- NPI 1891805776
-
- Physical Therapy Clinic/Center
- Vancouver, WA
- NPI 1104080373
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196899200000",
"number": "1205022589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2250 NW FLANDERS ST",
"address_2": "SUITE GARDEN 01",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972103443",
"telephone_number": "503-224-1947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2250 NW FLANDERS ST",
"address_2": "SUITE GARDEN 01",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972103443",
"telephone_number": "503-224-1947"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROGAN",
"first_name": "BRIANNE",
"middle_name": "C",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-19",
"last_updated": "2007-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "5221",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00010689",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.