Organization Active NPI

Hopstown Physical Therapy

  • Physical Medicine & Rehabilitation Physician
  • Beaverton, OR
National Provider Identifier
1447841697
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
HOPSTOWN PHYSICAL THERAPY
Practice address
3786 SW Hall Blvd
Beaverton, OR 97005-2050
Phone
(503) 816-6977
NPI assigned
Jan 31, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2023

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

Authorized official

Name
Brad Gary Simpson, PT, DPTNPI 1518900174
Title
Co-Owner
Phone
(503) 208-8012

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary
Physical Therapy Clinic/Center 261QP2000X

Addresses

Primary practice location

3786 SW Hall Blvd
Beaverton, OR 97005-2050

Mailing address

3786 SW Hall Blvd
Beaverton, OR 97005-2050
Phone (503) 816-6977

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230105001156 OR Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2769852896 Receives reassigned benefits from 4 practitioners
Practice locations: Beaverton, OR; Lake Oswego, OR

National Provider Directory

National Provider Directory

Locations

3786 SW Hall Blvd
Beaverton, OR 97005
Phone (503) 626-6587

16849 SW 65th Ave
Lake Oswego, OR 97035
Phone (503) 598-8603

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1612051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674172800000",
    "number": "1447841697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3786 SW HALL BLVD",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970052050",
            "telephone_number": "503-816-6977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3786 SW HALL BLVD",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970052050",
            "telephone_number": "503-816-6977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPSTOWN PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-31",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "BRAD",
        "authorized_official_middle_name": "GARY",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "503-208-8012",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.