Individual provider Active NPI

Bonnie Walpert, PT

  • Physical Therapist
  • Lake Oswego, OR
National Provider Identifier
1528316734
Registry record updated Aug 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5186 Issued in OR
Practice address
1498 Meadows Dr
Lake Oswego, OR 97034-6120
Phone
(503) 697-1887
NPI assigned
Aug 20, 2012
Last updated
Aug 20, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2012

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 5186 OR Primary

Addresses

Primary practice location

1498 Meadows Dr
Lake Oswego, OR 97034-6120

Mailing address

1498 Meadows Dr
Lake Oswego, OR 97034-6120
Phone (503) 697-1887

Other names 1

  • Bonnie Walpert Former name

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

State licenses

LicenseStateTypeSpecialty
5186ORMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1345420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345420800000",
    "number": "1528316734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1498 MEADOWS DR",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970346120",
            "telephone_number": "503-697-1887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1498 MEADOWS DR",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970346120",
            "telephone_number": "503-697-1887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALPERT",
        "first_name": "BONNIE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-20",
        "last_updated": "2012-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "5186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BONNIE",
            "last_name": "WALPERT",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lake Oswego, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.