Individual provider Active NPI

Brad Simpson, PT

  • Physical Therapist
  • Beaverton, OR
National Provider Identifier
1518900174
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5797 Issued in OR
Practice address
3786 SW Hall Blvd
Suite160
Beaverton, OR 97005-2050
Phone
(503) 626-6587
Fax
(971) 231-2097
NPI assigned
Jun 13, 2006
Last updated
Mar 23, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT00009936 WA
Physical Therapist 225100000X 5797 OR Primary

Addresses

Primary practice location

3786 SW Hall Blvd
Suite160
Beaverton, OR 97005-2050

Mailing address

3786 SW Hall Blvd
Beaverton, OR 97005-2050
Phone (503) 626-6587

Other practice location 1

10250 SW Greenburg Rd Ste 115
Tigard, OR 97223-5461
Phone (503) 719-6783

Other identifiers 1

IdentifierTypeStateIssuer
8440729MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20081013000127 OR Practitioner - Physical Therapist in Private Practice 6103847603 Reassigns benefits to 2 organizations
I20220321001449 AZ Practitioner - Physical Therapist in Private Practice 6103847603 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hopstown Physical TherapyGroup PAC ID 2769852896, 3 clinicians

Practice addresses (Care Compare)

16849 SW 65TH Ave
Lake Oswego, OR 97035-7865
Phone (503) 598-8603

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5797ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hopstown Physical Therapy Physical Therapist CurrentSince Nov 16, 2022 Accepting new patients
Stryker Health Consulting Inc Physical Therapist Past Accepting new patients
Integrated Joint Specialists LLC PastSince Jul 1, 2020 Accepting new patients

Locations

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

3786 SW Hall Blvd
Ste 160
Beaverton, OR 97005
Phone (503) 626-6587

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

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1518900174",
    "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": "503-626-6587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3786 SW HALL BLVD",
            "address_2": "SUITE160",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970052050",
            "telephone_number": "503-626-6587",
            "fax_number": "971-231-2097"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10250 SW Greenburg Rd Ste 115",
            "address_purpose": "LOCATION",
            "city": "Tigard",
            "state": "OR",
            "postal_code": "972235461",
            "country_code": "US",
            "telephone_number": "503-719-6783",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "BRAD",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00009936",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "5797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8440729",
            "state": "WA"
        }
    ],
    "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 Mar 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.