Mark Travis Hatfield, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4986 Issued in OR

Practice address

1420 SW Broadway
Portland, OR 97201-3413

Phone

(503) 222-1955

Fax

(503) 222-1485

NPI assigned

Dec 5, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bridgetown Physical Therapy and Training Studio PCGroup PAC ID 2264514652, 13 clinicians

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 and National Provider Directory roles.

• Bridgetown Physical Therapy and Training Studio, PC

  • Physical Therapist
  • Portland, OR
  • NPI 1194907873
  Medicare reassignment Care Compare group NPD
• Proactive Orthopedic and Sports Physical Therapy of Oregon City LLC

  • Physical Therapy Clinic/Center
  • Oregon City, OR
  • NPI 1760443477
  NPD (past)

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273017600000",
    "number": "1326022187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 SW BROADWAY",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972013413",
            "telephone_number": "503-222-1955",
            "fax_number": "503-222-1485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 SW BROADWAY",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972013413",
            "telephone_number": "503-222-1955",
            "fax_number": "503-222-1485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATFIELD",
        "first_name": "MARK",
        "middle_name": "TRAVIS",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-05",
        "last_updated": "2010-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "4986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter W Hatcher, MD
• Ashley Michelle Hatchett
• Elizabeth Hatfield, DO
• Joanna Laurel Hatfield, M.D.
• Katherine Noelle Hatfield
• Rachel Hathaway-Boschee, BCABA
• Anneke P Hathaway, PSYD
• Chalese Marie Hathaway, DC
• Charles Richard Hathaway, D.C
• Jill L. Hathaway, LAC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2010; 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.