Deborah Ann Petrotta, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

272963 Issued in OR

Practice address

22021 SW Sherwood Blvd
Sherwood, OR 97140-9327

Phone

(503) 625-4054

Fax

(503) 625-6297

NPI assigned

May 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Petrotta Chiropractic Inc.

  • Chiropractor
  • Sherwood, OR
  • NPI 1578702106
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557964800000",
    "number": "1285684787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20512 SW ROY ROGERS RD",
            "address_2": "STE 150",
            "city": "SHERWOOD",
            "state": "OR",
            "postal_code": "971409930",
            "telephone_number": "503-625-4054",
            "fax_number": "503-822-5077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22021 SW SHERWOOD BLVD",
            "city": "SHERWOOD",
            "state": "OR",
            "postal_code": "971409327",
            "telephone_number": "503-625-4054",
            "fax_number": "503-625-6297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETROTTA",
        "first_name": "DEBORAH",
        "middle_name": "ANN",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2019-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "272963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "272963",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chung-Jae Park, DDS
• Bronwyn M Parkin, PHARM.D.
• Osa Briana Peck, RN, CDCES
• John Michael Pellerin Jr., L.M.T.
• Petrotta Chiropractic Inc.
• Li-Zandre Philbrook, PT, DPT
• Lauren Phillips, M.S. CF-SLP
• Cheryl Catherine Pierson, M.D.
• Jamie Pitetti
• Pivotal Physical Therapy, LLC

• Chiropractor in Sherwood, OR
• Providers in Sherwood, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2019; 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.