Annabelle Ty, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5589 Issued in OR

Practice address

1778 NE Cornell Rd
Hillsboro, OR 97124-2740

Phone

(503) 648-6621

NPI assigned

Dec 6, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1417016460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21726 SW SUSAN LN",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970036588",
            "telephone_number": "916-220-0846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1778 NE CORNELL RD",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971242740",
            "telephone_number": "503-648-6621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TY",
        "first_name": "ANNABELLE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 30315",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "5589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deandra M Turner, LMT
• Jeffery Scot Turner, PHARMD, RPH
• Stephanie Twellman, LPC
• Deanna Marie Twenge, L.M.T.
• Daniel Cavanagh Twombly, M.D.
• Brent Tyhuis
• Tylor Brekke DMD Ms PC
• Claire Jeanette Tyrrell
• Edward Udovick, PSS, CRM
• Venay M Uecke, CNM

• Physical Therapist in Hillsboro, OR
• Providers in Hillsboro, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.