Bettina M Bardin-Sorensen, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3014 Issued in OR

Practice address

2002 12TH St
Hood River, OR 97031-9543

Phone

(541) 386-1211

Fax

(541) 386-7211

NPI assigned

Nov 4, 2005

Last updated

Sep 12, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Columbia Gorge Physical Therapy IncGroup PAC ID 6709776198, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Columbia Gorge Physical Therapy Inc

  • Physical Therapist
  • Hood River, OR
  • NPI 1073504809
  Medicare reassignment Care Compare group Authorized official

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505174400000",
    "number": "1407847742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 12TH ST",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970319543",
            "telephone_number": "541-386-1211",
            "fax_number": "541-386-7211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 12TH ST",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970319543",
            "telephone_number": "541-386-1211",
            "fax_number": "541-386-7211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARDIN-SORENSEN",
        "first_name": "BETTINA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-04",
        "last_updated": "2017-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "3014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205208",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Balance Massage Therapy, LLC
• Balanced Active Recovery, LLC
• Elizabeth Brooke Baldwin, RN
• David E Barber, RPH
• Bentley Barbour
• Chelsea Barnard, LMT
• Samantha Ruth Barnes
• Pamela Jane Barry, LCSW
• Terry Bartles
• Jenna Lynette Bartley, M.S., CCC-SLP

• Physical Therapist in Hood River, OR
• Providers in Hood River, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2017; 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.