Individual provider Active NPI

Angela Wu

  • Physical Therapist
  • Vancouver, WA
National Provider Identifier
1447631031
Registry record updated Mar 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
60598 Issued in OR
Practice address
13115 NE 4TH St
Suite 100
Vancouver, WA 98684-5957
Phone
(360) 696-1070
Fax
(360) 737-0200
NPI assigned
Jun 9, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 60598 OR Primary

Addresses

Primary practice location

13115 NE 4TH St
Suite 100
Vancouver, WA 98684-5957

Mailing address

120 N Everest St
Ste C
Newberg, OR 97132-2116
Phone (503) 538-8952

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160331002540 OR Practitioner - Physical Therapist in Private Practice 0648577940 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chehalem Physical Therapy IncGroup PAC ID 2769455344, 9 clinicians

Practice addresses (Care Compare)

118 N Everest St
Newberg, OR 97132-2102
Phone (503) 538-8952

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chehalem Physical Therapy, Inc. CurrentSince Oct 30, 2015 Accepting new patients
Pain Management Consultants, PC Past Accepting new patients

Locations

118 N Everest St
Newberg, OR 97132
Phone (503) 538-8952

120 N Everest St
Ste C
Newberg, OR 97132
Phone (503) 292-7005

Organizations & group practices 2

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": "1433808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456963200000",
    "number": "1447631031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N EVEREST ST",
            "address_2": "STE C",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971322116",
            "telephone_number": "503-538-8952",
            "fax_number": "503-537-2027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13115 NE 4TH ST",
            "address_2": "SUITE 100",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986845957",
            "telephone_number": "360-696-1070",
            "fax_number": "360-737-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "ANGELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-09",
        "last_updated": "2016-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "60598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2016; 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.