Joan Marie Brassfield, P.T.

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

2108 Issued in OR

Practice address

10220 SW Greenburg Rd
Lincoln Center 3, Suite 201
Portland, OR 97223-5503

Phone

(503) 570-3665

Fax

(503) 570-9155

NPI assigned

Sep 20, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190246400000",
    "number": "1265628523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25117 SW PARKWAY AVE",
            "address_2": "SUITE D",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970709697",
            "telephone_number": "503-570-3665",
            "fax_number": "503-570-9155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10220 SW GREENBURG RD",
            "address_2": "LINCOLN CENTER 3, SUITE 201",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972235503",
            "telephone_number": "503-570-3665",
            "fax_number": "503-570-9155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRASSFIELD",
        "first_name": "JOAN",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-20",
        "last_updated": "2007-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "OR",
            "license": "2108",
            "primary": true
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "WA",
            "license": "6194",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204982",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen J Brasel, MD
• Lauren Brasfield, SLP-CCC
• Anthony P Brasher
• Brooke Brasile
• Elizabeth Randi Brass, MD
• Christopher Brasuell, AAS,CRM
• Nikole Brate
• Chris John Bratta, QMHA
• Alexa Brattain
• Kirsten Elissa Braudt

• Geriatric Physical Therapist in Portland, OR
• Providers in Portland, OR by specialty
• Geriatric Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.

Verify at the official NPI Registry.