Active NPI
Anthony Gerald Lambright, PTA
- Physical Therapy Assistant
- Portland, OR
National Provider Identifier
1396264560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 09518
- Practice address
- 9828 E Burnside St Ste 250
Portland, OR 97216-2365 - Phone
- (503) 254-3424
- Fax
- (503) 254-3635
- NPI assigned
- Sep 19, 2017
- Last updated
- Sep 20, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 09518 | OR | Primary |
Addresses
Primary practice location
9828 E Burnside St Ste 250
Portland, OR 97216-2365
Mailing address
6397 Lee Hwy Ste 300
Chattanooga, TN 37421-2564
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
| License | State | Type | Specialty |
|---|---|---|---|
| 09518 | OR | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1505865600000",
"number": "1396264560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6397 LEE HWY STE 300",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374212564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9828 E BURNSIDE ST STE 250",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972162365",
"telephone_number": "503-254-3424",
"fax_number": "503-254-3635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAMBRIGHT",
"first_name": "ANTHONY",
"middle_name": "GERALD",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-09-19",
"last_updated": "2017-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "OR",
"license": "09518",
"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 Sep 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.