Individual provider Active NPI

Tammy Buresh, PTA

  • Physical Therapy Assistant
  • Lebanon, OR
National Provider Identifier
1386005486
Registry record updated Mar 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
7431 Issued in OR
Practice address
1300 E Grant St Ste 100
Lebanon, OR 97355-9539
Phone
(541) 258-8222
Fax
(541) 258-8221
NPI assigned
Mar 16, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 7431 OR Primary

Addresses

Primary practice location

1300 E Grant St Ste 100
Lebanon, OR 97355-9539

Mailing address

7201 W Clearwater Ave Ste B101
Kennewick, WA 99336-1694
Phone (509) 544-0265

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
7431ORMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Physical Therapy Inc PS PastSince Jul 16, 2018 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1458086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458086400000",
    "number": "1386005486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7201 W CLEARWATER AVE STE B101",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993361694",
            "telephone_number": "509-544-0265",
            "fax_number": "509-987-1614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 E GRANT ST STE 100",
            "city": "LEBANON",
            "state": "OR",
            "postal_code": "973559539",
            "telephone_number": "541-258-8222",
            "fax_number": "541-258-8221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURESH",
        "first_name": "TAMMY",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-16",
        "last_updated": "2016-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OR",
            "license": "7431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2016; 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.