Brianna Elizabeth Abernathy, PT, DPT
Individual provider Active NPI Physical Therapist · Gresham, OR
NPI 1457863714 · NPPES record last updated Aug 23, 2023
Key facts
- NPI
- 1457863714
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 62496 (OR)
- Practice address
- 2895 SE Powell Valley Rd
Gresham, OR 97080-1492 - Phone
- (503) 764-6589
- NPI assigned
- Oct 26, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Select Rehabilitation, LLC
Practice addresses (Care Compare)
9000 SW 91St Ave
Tigard, OR 97223-6809
Phone (503) 445-4363
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230908000534 | OR | Practitioner - Physical Therapist in Private Practice | 3678832920 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5318 | OK | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Select Rehabilitation, LLC | Physical Therapist | Current |
Accepting new patients |
| Preferred Podiatry Group PC | Past | Accepting new patients |
Locations
203 Stahlhut Dr
Lincoln, IL 62656
Phone (217) 651-8364
1010 NE Purcell Blvd
Bend, OR 97701
Phone (541) 318-6042
9000 SW 91st Ave
Tigard, OR 97223
Phone (503) 445-4363
201 NW 78th St
Vancouver, WA 98665
Phone (360) 546-3344
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5318 | OK | |
| Physical Therapist | 225100000X | 127300 | AK | |
| Physical Therapist | 225100000X | 62496 | OR | Yes |
Addresses
Primary practice location
2895 SE Powell Valley Rd
Gresham, OR 97080-1492
Mailing address
4200 SE Harvey St
Milwaukie, OR 97222-5817
Phone (405) 657-9599
Other names
- Brianna Elizabeth Versteeg
Other providers in Gresham, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 23, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.