Active NPI
Andrea Patricia Bulat, P.T.
- Physical Therapist
- Salem, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6049
- Practice address
- 1025 2ND St NW
Salem, OR 97304-4001 - Phone
- (503) 371-0779
- Fax
- (503) 371-0886
- NPI assigned
- Aug 20, 2009
- Last updated
- Jul 16, 2024
- 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 | 6049 | OR | Primary |
Addresses
Primary practice location
1025 2ND St NW
Salem, OR 97304-4001
Mailing address
1025 2ND St NW
Salem, OR 97304-4001
Phone (503) 371-0779
Other practice location 1
1411 S Potomac St Ste 400
Aurora, CO 80012-4540
Phone (303) 695-6060
Other practice location 2
1248 S Broadway
Denver, CO 80210-1504
Phone (720) 699-9095
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6049 | Other | OR | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 43.24 of 100
- Quality
- 73.53
- Promoting interoperability
- 0
- Improvement activities
- 0
- Cost
- 70.6
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6049 | OR | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Erhardt Physical Therapy and Sports Medicine, LLC | Physical Therapist | Current | Accepting new patients |
| Northwest Rehabilitation Associates, Inc. | Physical Therapist | Current | Accepting new patients |
| Impact Physical Therapy, LLC | Physical Therapist | Past | Accepting new patients |
| Kab Physical Therapy LLC | Physical Therapist | Past | Accepting new patients |
| Andrew Physical Therapy, Inc | Past | Accepting new patients | |
| Corvallis Sport and Spine Physical Therapy Inc | Physical Therapist | Past | Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
735 SW 158th Ave
Ste 160
Beaverton, OR 97006
Phone (503) 597-0035
210 W Ellendale Ave
Ste 100
Dallas, OR 97338
Phone (503) 623-2433
3270 Liberty Rd S
Salem, OR 97302
Phone (503) 371-0779
51385 SW Old Portland Rd
Scappoose, OR 97056
Phone (503) 543-7768
7800 SW Durham Rd
Ste 500
Tigard, OR 97224
Phone (503) 937-0090
Organizations & group practices 6
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.
-
dba ATI Physical Therapy
- Physical Therapist
- Scappoose, OR
- NPI 1326110313
-
- Physical Therapy Clinic/Center
- West Salem, OR
- NPI 1972505790
Physical Therapist
-
- Physical Therapy Clinic/Center
- McMinnville, OR
- NPI 1801058078
-
- Physical Therapist
- Corvallis, OR
- NPI 1841388170
-
- Physical Therapist
- Grants Pass, OR
- NPI 1083655260
-
dba Impact Physical Therapy of Hillsboro
- Physical Therapist
- Hillsboro, OR
- NPI 1447568183
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721088000000",
"number": "1285866590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 2ND ST NW",
"city": "SALEM",
"state": "OR",
"postal_code": "973044001",
"telephone_number": "503-371-0779",
"fax_number": "503-371-0886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 2ND ST NW",
"city": "SALEM",
"state": "OR",
"postal_code": "973044001",
"telephone_number": "503-371-0779",
"fax_number": "503-371-0886"
}
],
"practiceLocations": [
{
"address_1": "1411 S Potomac St Ste 400",
"address_purpose": "LOCATION",
"city": "Aurora",
"state": "CO",
"postal_code": "800124540",
"country_code": "US",
"telephone_number": "303-695-6060",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1248 S Broadway",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802101504",
"country_code": "US",
"telephone_number": "720-699-9095",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BULAT",
"first_name": "ANDREA",
"middle_name": "PATRICIA",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-20",
"last_updated": "2024-07-16",
"certification_date": "2024-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "6049",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "6049",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; 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.