Individual provider Active NPI

Wendy Brackeen, DC.

  • Sports Physician Chiropractor
  • Hillsboro, OR
National Provider Identifier
1265475172
Registry record updated Mar 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
5151 Issued in OR
Practice address
230 NE 2ND Ave Ste 1
Hillsboro, OR 97124-3074
Phone
(503) 640-2800
NPI assigned
Jun 14, 2006
Last updated
Mar 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 5151 OR Primary

Addresses

Primary 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

  • Wendy Knight Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151007000589 OR Practitioner - Chiropractic 0749598043 Reassigns benefits to 4 organizations

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 CoGroup PAC ID 1153707245, 2 clinicians

Practice addresses (Care Compare)

230 NE 2ND Ave
Suite 1
Hillsboro, OR 97124-3074
Phone (503) 640-2800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tuality Healthcare CurrentSince Jan 18, 2018 Accepting new patients
Tuality Medical Group LLC CurrentSince Dec 1, 2024 Accepting new patients
Attuned Vitality Co CurrentSince May 28, 2022 Accepting new patients
Tuality Healthcare Current Accepting new patients
Tuality Healthcare Current Accepting new patients
Tuality Medical Group LLC CurrentSince Jan 18, 2018 Accepting new patients
Tuality Healthcare CurrentSince Jan 18, 2018 Accepting new patients
Spinecare Chiropractic P.C. CurrentSince Mar 20, 2022 Accepting new patients

Locations

1200 NE 48th Ave
Ste 700
Hillsboro, OR 97124
Phone (503) 640-6064

230 NE 2nd Ave
Ste 1
Hillsboro, OR 97124
Phone (503) 640-2800

335 SE 8th Ave
Hillsboro, OR 97123
Phone (503) 681-1111

364 SE 8th Ave
Hillsboro, OR 97123
Phone (503) 681-4145

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "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.

Verify at the official NPI Registry.