Active NPI
Brandy D. Hoffert, DPT
- Physical Therapist
- Molalla, OR
National Provider Identifier
1457551608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4438
- Practice address
- 301 Ridings Ave
Molalla, OR 97038 - Phone
- (503) 829-5591
- NPI assigned
- Jul 24, 2007
- Sex
- Female
- 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 Therapist | 225100000X | 4438 | OR | Primary |
Addresses
Primary practice location
301 Ridings Ave
Molalla, OR 97038
Mailing address
1321 SE 13TH PL
Canby, OR 97013-4352
Other practice location 1
5601 SE 122nd Ave
Portland, OR 97236-4601
Phone (503) 761-3181 ext. 4945
Other practice location 2
5601 SE 122nd Ave
Portland, OR 97236-4601
Phone (503) 761-3181 ext. 4945
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040903000131 | OR | Practitioner - Physical Therapist in Private Practice | 2365350121 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premere Rehab LLC | Physical Therapist | Current | Accepting new patients |
Locations
4254 Weathers St NE
Salem, OR 97301
Phone (503) 393-3624
8100 SW Nyberg St
Ste 200
Tualatin, OR 97062
Phone (503) 570-3365
Organizations & group practices 1
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": "1185235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563926400000",
"number": "1457551608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1321 SE 13TH PL",
"city": "CANBY",
"state": "OR",
"postal_code": "970134352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 RIDINGS AVE",
"city": "MOLALLA",
"state": "OR",
"postal_code": "97038",
"telephone_number": "503-829-5591"
}
],
"practiceLocations": [
{
"address_1": "5601 SE 122nd Ave",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972364601",
"country_code": "US",
"telephone_number": "503-761-3181 x4945",
"fax_number": "503-760-6556",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5601 SE 122nd Ave",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972364601",
"country_code": "US",
"telephone_number": "503-761-3181 x4945",
"fax_number": "503-760-6556",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOFFERT",
"first_name": "BRANDY",
"middle_name": "D.",
"name_prefix": "Mrs.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-24",
"last_updated": "2019-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "4438",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Molalla, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; 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.