Active NPI
Bridget Louann Corsetti, PT
- Physical Therapist
- Newberg, OR
National Provider Identifier
1215415617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3434
- Practice address
- 500 Villa Rd
Newberg, OR 97132-1860 - Phone
- (503) 537-1735
- NPI assigned
- Jul 30, 2018
- 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 | 3434 | OR | Primary |
Addresses
Primary practice location
500 Villa Rd
Newberg, OR 97132-1860
Mailing address
17117 SW Green Heron Dr
Sherwood, OR 97140-8972
Phone (503) 781-5704
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3434 | OR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532908800000",
"number": "1215415617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17117 SW GREEN HERON DR",
"city": "SHERWOOD",
"state": "OR",
"postal_code": "971408972",
"telephone_number": "503-781-5704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 VILLA RD",
"city": "NEWBERG",
"state": "OR",
"postal_code": "971321860",
"telephone_number": "503-537-1735"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORSETTI",
"first_name": "BRIDGET",
"middle_name": "LOUANN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-30",
"last_updated": "2018-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "3434",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newberg, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.