Individual provider Active NPI

Joseph Cody Brainard, DPT

  • Physical Therapist
  • Portland, OR
National Provider Identifier
1356942221
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
299811 Issued in CA
Practice address
4416 NE Simpson St
Portland, OR 97218-1446
Phone
(503) 449-3763
NPI assigned
Nov 5, 2020
Last updated
Nov 8, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU
Physical Therapist 225100000X 299811 CA Primary

Addresses

Primary practice location

4416 NE Simpson St
Portland, OR 97218-1446

Mailing address

4416 NE Simpson St
Portland, OR 97218-1446
Phone (503) 449-3763

Other practice location 1

251 Landis Ave
Chula Vista, CA 91910-2628
Phone (619) 515-2500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231031003231 CA Practitioner - Physical Therapist in Private Practice 2961858683 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Centers of San Diego Inc Current Accepting new patients
Family Health Centers of San Diego, Inc CurrentSince Nov 13, 2023 Accepting new patients
Family Health Centers of San Diego, Inc CurrentSince Nov 13, 2023 Accepting new patients
Family Health Centers of San Diego, Inc Current Accepting new patients
Eggleton & Langton Physical Therapy Management Services Physical Therapist CurrentSince Oct 9, 2023 Accepting new patients
Eggleton & Langton Physical Therapy Management Services Physical Therapist CurrentSince Oct 9, 2023 Accepting new patients
Eggleton & Langton Physical Therapy Management Services Physical Therapist Past Accepting new patients

Locations

2536 Rockwood Ave
Calexico, CA 92231
Phone (760) 768-3422

251 Landis Ave
Chula Vista, CA 91910
Phone (619) 515-2500

5905 Severin Dr
La Mesa, CA 91942
Phone (619) 589-2606

823 Gateway Center Way
San Diego, CA 92102
Phone (619) 515-2323

10225 Austin Dr
Ste 204
Spring Valley, CA 91978
Phone (619) 670-4567

Organizations & group practices 7

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": "1604534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1356942221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4416 NE SIMPSON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972181446",
            "telephone_number": "503-449-3763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4416 NE SIMPSON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972181446",
            "telephone_number": "503-449-3763"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "251 Landis Ave",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919102628",
            "country_code": "US",
            "telephone_number": "619-515-2500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAINARD",
        "first_name": "JOSEPH",
        "middle_name": "CODY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-05",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "299811",
            "primary": true
        }
    ],
    "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 Nov 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.