Active NPI
Mary S Bessette, P.T.
- Geriatric Physical Therapist
- Portland, OR
National Provider Identifier
1497913362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Physical Therapist
- License
- 2517
- Practice address
- 6149 SW Miles CT
Portland, OR 97219-1160 - Phone
- (503) 246-2649
- NPI assigned
- May 28, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | 2517 | OR | Primary |
Addresses
Primary practice location
6149 SW Miles CT
Portland, OR 97219-1160
Mailing address
6149 SW Miles CT
Portland, OR 97219-1160
Phone (503) 246-2649
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211932800000",
"number": "1497913362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6149 SW MILES CT",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972191160",
"telephone_number": "503-246-2649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6149 SW MILES CT",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972191160",
"telephone_number": "503-246-2649"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BESSETTE",
"first_name": "MARY",
"middle_name": "S",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-28",
"last_updated": "2008-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "OR",
"license": "2517",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.