Individual provider Active NPI

Donna Drury

  • Physical Therapist
  • Portland, OR
National Provider Identifier
1336563915
Registry record updated Feb 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
06451 Issued in OR
Practice address
10175 SW Barbur Blvd
Ste 214B
Portland, OR 97219-5908
Phone
(503) 997-3181
Fax
(503) 922-2527
NPI assigned
Feb 18, 2014
Last updated
Feb 18, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 06451 OR Primary
Human Factors Physical Therapist 2251H1300X 06451 OR
Pediatric Physical Therapist 2251P0200X 06451 OR

Addresses

Primary practice location

10175 SW Barbur Blvd
Ste 214B
Portland, OR 97219-5908

Mailing address

10175 SW Barbur Blvd
Ste 214B
Portland, OR 97219-5908
Phone (503) 997-3181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
06451ORMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wise Choice Educational Solutions, Inc. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1392681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392681600000",
    "number": "1336563915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10175 SW BARBUR BLVD",
            "address_2": "STE 214B",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972195908",
            "telephone_number": "503-997-3181",
            "fax_number": "503-922-2527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10175 SW BARBUR BLVD",
            "address_2": "STE 214B",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972195908",
            "telephone_number": "503-997-3181",
            "fax_number": "503-922-2527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRURY",
        "first_name": "DONNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-18",
        "last_updated": "2014-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "06451",
            "primary": true
        },
        {
            "code": "2251H1300X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Human Factors",
            "state": "OR",
            "license": "06451",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "OR",
            "license": "06451",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; 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.