Individual provider Active NPI

Brandy D. Hoffert, DPT

  • Physical Therapist
  • Molalla, OR
National Provider Identifier
1457551608
Registry record updated Jul 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4438 Issued in OR
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

Updated by the provider on Jul 24, 2019

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 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 IDStateProvider typePAC IDDetails
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

OrganizationSpecialtyStatusNew patients
Premere Rehab LLC Physical Therapist CurrentSince Apr 14, 2025 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.

Verify at the official NPI Registry.