Active NPI
Brittany Victoria Dickason, PT, DPT
- Physical Therapist
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 65312
- Practice address
- 4640 S Macadam Ave Ste 90
Portland, OR 97239-4285 - Phone
- (503) 292-0765
- NPI assigned
- May 28, 2024
- Last updated
- Feb 27, 2025
- 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 | 65312 | OR | Primary |
Addresses
Primary practice location
4640 S Macadam Ave Ste 90
Portland, OR 97239-4285
Mailing address
6355 SE Imagine Way
Hillsboro, OR 97123-5057
Phone (610) 425-0567
Other practice location 1
17400 Holy Names Dr
Lake Oswego, OR 97034-5202
Phone (503) 675-2004
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4640 S Macadam Ave
Suite 90
Portland, OR 97239-4285
Phone (503) 292-0765
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthpro Heritage Rehab & Fitness, LLC | Physical Therapist | Current | Accepting new patients |
| Progressive Rehabilitation Associates LLC | Current | Accepting new patients | |
| Healthpro Heritage Rehab & Fitness, LLC | Physical Therapist | Current | Accepting new patients |
Locations
377 NW Jasper St
Dallas, OR 97338
Phone (503) 623-1777
17400 Holy Names Dr
Lake Oswego, OR 97034
Phone (503) 675-2004
1815 SW Marlow Ave
Ste 110
Portland, OR 97225
Phone (503) 292-0765
4640 S Macadam Ave
Ste 90
Portland, OR 97239
Phone (503) 292-0765
Organizations & group practices 3
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.
-
- Clinic/Center
- Portland, OR
- NPI 1790760908
-
- Physical Therapist
- Dallas, OR
- NPI 1376272732
-
- Physical Therapist
- Independence, MO
- NPI 1871072462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740614400000",
"number": "1235979311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6355 SE IMAGINE WAY",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971235057",
"telephone_number": "610-425-0567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4640 S MACADAM AVE STE 90",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972394285",
"telephone_number": "503-292-0765"
}
],
"practiceLocations": [
{
"address_1": "17400 Holy Names Dr",
"address_purpose": "LOCATION",
"city": "Lake Oswego",
"state": "OR",
"postal_code": "970345202",
"country_code": "US",
"telephone_number": "503-675-2004",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DICKASON",
"first_name": "BRITTANY",
"middle_name": "VICTORIA",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-28",
"last_updated": "2025-02-27",
"certification_date": "2025-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "65312",
"primary": true
}
],
"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 Feb 27, 2025; 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.