Active NPI
Brett Traeger, PT, DPT
- Physical Therapist
- Corvallis, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 65703
- Practice address
- 845 SW 30TH St
Corvallis, OR 97331-8629 - Phone
- (541) 768-7700
- NPI assigned
- Aug 2, 2024
- Last updated
- Sep 4, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 65703 | OR | Primary |
| Physical Therapist | 225100000X | 5061379 | ID |
Addresses
Primary practice location
845 SW 30TH St
Corvallis, OR 97331-8629
Mailing address
PO Box 1189
Corvallis, OR 97339-1189
Other practice location 1
2619 W Fairview Ave
Boise, ID 83702-6722
Phone (208) 706-2676
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | btraeger326398@samhealth.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
845 SW 30TH St
Corvallis, OR 97331-8629
Phone (541) 768-7700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5061379 | ID | MD | Physical Therapist |
| 65703 | OR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Good Samaritan Hospital Corvallis | Current | Accepting new patients | |
| Good Samaritan Hospital Corvallis | Current | Accepting new patients | |
| Good Samaritan Hospital Corvallis | Current | Accepting new patients |
Locations
3600 NW Samaritan Dr
Ste 227
Corvallis, OR 97330
Phone (541) 768-1261
815 NW 9th St
Ste 215
Corvallis, OR 97330
Phone (541) 768-1888
845 SW 30th St
Corvallis, OR 97331
Phone (541) 768-7700
Interoperability endpoints
- btraeger326398@samhealth.direct-ci.com
Organizations & group practices 3
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 Good Samaritan Regional Medical Center
- General Acute Care Hospital
- Corvallis, OR
- NPI 1962453134
-
dba Samaritan Sports Medicine-V
- Family Medicine Physician
- Corvallis, OR
- NPI 1710244843
-
dba Samaritan Gynecologic Oncology - Corvallis
- Gynecologic Oncology Physician
- Corvallis, OR
- NPI 1710787916
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756944000000",
"number": "1306676671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1189",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973391189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "845 SW 30TH ST",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973318629",
"telephone_number": "541-768-7700"
}
],
"practiceLocations": [
{
"address_1": "2619 W Fairview Ave",
"address_purpose": "LOCATION",
"city": "Boise",
"state": "ID",
"postal_code": "837026722",
"country_code": "US",
"telephone_number": "208-706-2676",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TRAEGER",
"first_name": "BRETT",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-08-02",
"last_updated": "2025-09-04",
"certification_date": "2025-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "65703",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ID",
"license": "5061379",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "btraeger326398@samhealth.direct-ci.com",
"affiliation": "N",
"address_1": "845 SW 30th St",
"city": "Corvallis",
"state": "OR",
"country_code": "US",
"postal_code": "973318629",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Corvallis, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; 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.