Active NPI
Wendy Brackeen, DC.
- Sports Physician Chiropractor
- Hillsboro, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 5151
- Practice address
- 230 NE 2ND Ave Ste 1
Hillsboro, OR 97124-3074 - Phone
- (503) 640-2800
- NPI assigned
- Jun 14, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
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.
-
- Chiropractor
- Hillsboro, OR
- NPI 1922170273
-
- Psychiatric Hospital
- Hillsboro, OR
- NPI 1073817714
-
- General Acute Care Hospital
- Hillsboro, OR
- NPI 1336228659
-
- Clinic/Center
- Forest Grove, OR
- NPI 1851515969
-
- Neurology Physician
- Hillsboro, OR
- NPI 1639690704
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National University of Arts and Sciences, Medical Department, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Attuned Vitality Co
Practice addresses (Care Compare)
230 NE 2ND Ave
Suite 1
Hillsboro, OR 97124-3074
Phone (503) 640-2800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151007000589 | OR | Practitioner - Chiropractic | 0749598043 | Reassigns benefits to 4 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5151 | OR | MD | Sports Physician Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tuality Healthcare | Current | Accepting new patients | |
| Tuality Healthcare | Current | Accepting new patients | |
| Tuality Healthcare | Current | Accepting new patients | |
| Spinecare Chiropractic P.C. | Current | Accepting new patients | |
| Tuality Healthcare | Current | Accepting new patients | |
| Tuality Medical Group LLC | Current | Accepting new patients | |
| Tuality Medical Group LLC | Current | Accepting new patients | |
| Attuned Vitality Co | Current | Accepting new patients |
Locations
1200 NE 48th Ave
Ste 700
Hillsboro, OR 97124
Phone (503) 640-6064
364 SE 8th Ave
Hillsboro, OR 97123
Phone (503) 681-4145
230 NE 2nd Ave
Ste 1
Hillsboro, OR 97124
Phone (503) 640-2800
335 SE 8th Ave
Hillsboro, OR 97123
Phone (503) 681-1111
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 5151 | OR | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
230 NE 2ND Ave Ste 1
Hillsboro, OR 97124-3074
Mailing address
230 NE 2ND Ave Ste 1
Hillsboro, OR 97124-3074
Phone (503) 640-2800
Other names 1
NPPES NPI Registry- Wendy Knight
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 16, 2022.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647388800000",
"number": "1265475172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 NE 2ND AVE STE 1",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971243074",
"telephone_number": "503-640-2800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 NE 2ND AVE STE 1",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971243074",
"telephone_number": "503-640-2800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRACKEEN",
"first_name": "WENDY",
"name_prefix": "Dr.",
"credential": "DC.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-14",
"last_updated": "2022-03-16",
"certification_date": "2022-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "OR",
"license": "5151",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "WENDY",
"last_name": "KNIGHT",
"credential": "DC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Hillsboro, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; 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.